Individual provider Active NPI

Yolanda R Rambin, PHD, MPAP

  • Prescribing (Medical) Psychologist
  • Pineville, LA
National Provider Identifier
1629131032
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
MP.000539 Issued in LA
Practice address
242 W Shamrock
Unit 1
Pineville, LA 71360-6439
Phone
(318) 484-6850
Fax
(318) 484-6232
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 539 LA
Prescribing (Medical) Psychologist 103TP0016X MPAP.000043 LA
Prescribing (Medical) Psychologist 103TP0016X MP.000539 LA Primary

Addresses

Primary practice location

242 W Shamrock
Unit 1
Pineville, LA 71360-6439

Mailing address

242 W Shamrock Ave
Pineville, LA 71360-6439
Phone (318) 484-6850

Other identifiers 1

IdentifierTypeStateIssuer
1914061MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MP.000539LAMDPrescribing (Medical) Psychologist
539LAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1629131032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 W SHAMROCK AVE",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606439",
            "telephone_number": "318-484-6850",
            "fax_number": "318-484-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 W SHAMROCK",
            "address_2": "UNIT 1",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606439",
            "telephone_number": "318-484-6850",
            "fax_number": "318-484-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBIN",
        "first_name": "YOLANDA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD, MPAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "539",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "MPAP.000043",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "MP.000539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1914061",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.