Jerome Yelder Sr., PHD PSYD MBA MS MP

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

159AMP Issued in SC

Practice address

1101 Belleview St Ste 104
Columbia, SC 29201-1863

Phone

(803) 937-1623

Fax

(803) 937-1623

NPI assigned

Apr 28, 2011

Reactivated

Jul 8, 2020

Last updated

Oct 25, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Master of Science, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CHFS Management Services Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, SC
  • NPI 1497285308
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792886400000",
    "number": "1548551278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BELLEVIEW ST STE 104",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011863",
            "telephone_number": "803-937-1623",
            "fax_number": "803-937-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BELLEVIEW ST STE 104",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011863",
            "telephone_number": "803-937-1623",
            "fax_number": "803-937-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELDER",
        "first_name": "JEROME",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PHD PSYD MBA MS MP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2026-10-25",
        "certification_date": "2020-07-08",
        "deactivation_date": "2020-05-10",
        "reactivation_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "45428",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "SC",
            "license": "61388",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "SC",
            "license": "573768",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "SC",
            "license": "73276",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "159AMP",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "SC",
            "license": "159AMP",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "SC",
            "license": "5768",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "SC",
            "license": "73276",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "SC",
            "license": "159AMP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP7839",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273614612",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher A. Yeakel, MD
• Bradley Eugene Yeargin, ATC
• Susan Yeargin, ATC
• Zariel A Yeargin
• Constance Yearling, MD MPH
• Rama Krishna Yelisetty, DMD
• Susan Parker Yelverton
• Janice Smith Yensan, MA ,CCC-SLP
• Philip Alexandre Yeon, MD
• Patrick Yergler

• Prescribing (Medical) Psychologist in Columbia, SC
• Providers in Columbia, SC by specialty
• Prescribing (Medical) Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.