Mark Yarhouse, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810000366 Issued in VA

Practice address

6320 N Center Dr
Suite 101
Norfolk, VA 23502-4009

Phone

(757) 456-0505

Fax

(757) 456-0817

NPI assigned

Feb 13, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Clinical Associates of Tidewater, P.C.

  • Clinical Psychologist
  • Norfolk, VA
  • NPI 1124060314
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922140029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 N CENTER DR",
            "address_2": "SUITE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024009",
            "telephone_number": "757-456-0505",
            "fax_number": "757-456-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 N CENTER DR",
            "address_2": "SUITE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024009",
            "telephone_number": "757-456-0505",
            "fax_number": "757-456-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARHOUSE",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Ellen Yablon, D.O.
• Sarah Yaghi, MD
• Christopher Yam, MD
• Min Yang, M.D.
• Erik M Yannone, MD
• Gwenetta Yvette Yates, LCSW
• Jeffrey Gerald Yates, MPA, PA-C
• Nazanin Yazdan Pouri, M.D.
• Danielle Anjuli Ybarra Scott, CNM
• Jinying Ye-Germond

• Clinical Psychologist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Psychologist in Virginia

• 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.

Verify at the official NPI Registry.