CHARLES ANDREW YARBOROUGH (NPI# 1497006613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497006613 |
| Entity Type | Individual |
| Full Name | CHARLES ANDREW YARBOROUGH |
| Credential | PSY.D. |
| Practice Address |
10724 Misty Vale Ave Baton Rouge LA 70810-3030 |
| Practice Telephone | 2259531903 |
| Mailing Telephone | 2259531903 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1161 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700968526 | Charles Milton Yarborough IIi | Internal Medicine | 4400 Chalfont Pl, Bethesda, MD 20816-1804 | 2006-10-20 |
| 1053537746 | Charles Yarborough | Acupuncturist | 601 N Avalon Blvd Ste D, Wilmington, CA 90744-5871 | 2007-04-18 |
| 1740320654 | Charles Curtis Yarborough | Counselor | 736 Medical Center Dr, Suite 102, Wilmington, NC 28401-4170 | 2007-02-08 |
| Street Address |
10724 MISTY VALE AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849987 | Fcfiv, LLC | Psychologist | 6161 Perkins Rd Ste 1d, Baton Rouge, LA 70808-4119 | 2020-04-03 |
| 1366977548 | Alex Semyon Cohen | Psychologist | 236 Audubon Hall, Baton Rouge, LA 70808-0000 | 2017-04-26 |
| 1760922868 | Sonia Blauvelt | Psychologist | 2210 Siegen Lane, Suite 2a, Baton Rouge, LA 70810- | 2017-03-08 |
| 1245507821 | Jmj Psychological Services, LLC | Psychologist | 921 N Lobdell Blvd, Suite D, Baton Rouge, LA 70806-8811 | 2011-11-26 |
| 1891989398 | Monique M Leblanc | Psychologist | 7656 Jefferson Hwy # 1a, Baton Rouge, LA 70809-1101 | 2007-08-28 |
| 1285847368 | Robert Roy Allen | Psychologist | 2507 Berrybrook Dr, Baton Rouge, LA 70816-2886 | 2007-05-07 |
| 1780805853 | Thomas J Hannie Jr. | Psychologist | 4611 Bluebonnet Blvd., Ste B, Baton Rouge, LA 70809 | 2007-05-02 |
| 1104040989 | David B Hale | Psychologist | 10562 Ranchwood Dr, Baton Rouge, LA 70815-5040 | 2007-04-12 |
| 1326261785 | Patricia Mary Aptaker | Psychologist | 12640 Lazy K Ave, Baton Rouge, LA 70810-4743 | 2007-04-11 |
| 1487787537 | Brandon P. Romano | Psychologist | 10211 Siegen Ln, Ste 2a, Baton Rouge, LA 70810-4926 | 2007-03-14 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
Please comment or provide details below to improve the information on CHARLES ANDREW YARBOROUGH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.