Active NPI
Herb A Yelverton, PH.D.
- Clinical Psychologist
- Raleigh, NC
National Provider Identifier
1831145465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2112
- Practice address
- 4201 Lake Boone TRL
Suite 201
Raleigh, NC 27607-7512 - Phone
- (919) 523-8002
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2112 | NC | Primary |
Addresses
Primary practice location
4201 Lake Boone TRL
Suite 201
Raleigh, NC 27607-7512
Mailing address
148 High Country Dr
Cary, NC 27513-3451
Phone (919) 462-8882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045WT | Other | NC | BCBS GROUP NUMBER |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831145465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 HIGH COUNTRY DR",
"city": "CARY",
"state": "NC",
"postal_code": "275133451",
"telephone_number": "919-462-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL",
"address_2": "SUITE 201",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077512",
"telephone_number": "919-523-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YELVERTON",
"first_name": "HERB",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "2112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "045WT",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
- Tracy Loggins Yehle, RPH
- Hannah Elizabeth Yelanich
- Marc David Yelle, MD PHD
- Edward Booth Yellig, MD
- Barbara C Yelverton, PH.D.
- Tikia Yelverton, DNP
- Vickie Smith Yelverton, MSA, MSW, LCSWA
- Yelverton'S Enrichment Services, Inc.
- Yelverton'S Enrichment Services, Inc.
- Yelverton'S Enrichment Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.