Jerome Yoman, PH.D., ABBP

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

1894 Issued in OR

Practice address

2373 NW 185TH Avenue
#644
Hillsboro, OR 97124-7076

Phone

(503) 488-0889

Fax

(971) 329-4770

NPI assigned

Mar 21, 2007

Last updated

Aug 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

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.

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1942326038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 NW 185TH AVENUE",
            "address_2": "#644",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247076",
            "telephone_number": "503-488-0889",
            "fax_number": "971-329-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 NW 185TH AVENUE",
            "address_2": "#644",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247076",
            "telephone_number": "503-488-0889",
            "fax_number": "971-329-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOMAN",
        "first_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "PH.D., ABBP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13841",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OR",
            "license": "1894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bergmans Ybarra, LCSW
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• Derek Joseph Young, DO
• Harold Y. Y. Young, D.M.D.

• Cognitive & Behavioral Psychologist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Cognitive & Behavioral Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.