DR. DAVID GLENN YARBOROUGH III (NPI# 1609109586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609109586 |
| Entity Type | Individual |
| Full Name | DR. DAVID GLENN YARBOROUGH III |
| Credential | PHD |
| Practice Address |
5617 Maxwell Pl Wilmington NC 28409-2966 |
| Mailing Address |
Po Box 16310 Wilmington NC 28408-6310 |
| Practice Telephone | 9107429243 |
| Practice Fax Number | 8887461787 |
| Mailing Telephone | 9107429243 |
| Mailing Fax Number | 8887461787 |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2013-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 412 | SC | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 1289 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6001179 | 05 | |
| NC | BCBS NC | 049M0 | 01 |
| NC | RAILROAD MEDICARE | P00821572 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127528 | David Cameron Yarborough | Dietitian, Registered | 8165 Veracruz Dr, Jacksonville, FL 32211-5034 | 2020-09-02 |
| Street Address |
5617 MAXWELL PL |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28409-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171109 | Ronny Eric Wright Jr. | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2005-08-22 |
| 1578979985 | Stephen Francis Mceachen | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2014-07-07 |
| 1114332343 | Susan R Leonard | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2014-06-26 |
| 1235425323 | Maryann Catherine Richardson | Nurse Practitioner | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2011-06-27 |
| 1154629186 | Heather D Finney | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2011-02-28 |
| 1245549021 | Lois H Reed | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2010-09-28 |
| 1427366160 | Stephania Blakley Jordan | Nurse Practitioner | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2010-09-15 |
| 1841504388 | Regina Lynette Mcconley | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2010-07-26 |
| 1730335449 | Stevan Michael Clifton | Physician Assistant | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2008-08-13 |
| 1013083146 | Lionel Gregory Fernando | Psychiatry & Neurology | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
| 1912373465 | Thomas Malenfant | Hearing Instrument Specialist | 474 New Centre Drive, #6, Wilmington, NC 28409 | 2015-08-19 |
| 1720482862 | Leslie Morton Garris | Pharmacist | 6013 Chancellorville Drive, Wilmington, NC 28409 | 2014-10-17 |
| 1659621720 | Charles Warren Moorehead | Social Worker | 5710 Oleander Dr. Suite 208, Wilmington, NC 28409 | 2012-09-14 |
| 1992972020 | Nancy Beth Kotz | Social Worker | 6211 Terrapin Ct, Wilmington, NC 28409 | 2008-05-08 |
| 1366611089 | Michael Royce Penland | Psychologist | 5002-1 Hewletts Run, Wilmington, NC 28409 | 2008-02-27 |
| 1184755092 | Keith W Mann | Dentist | 818-101 Pine Grove Drive, Wilmington, NC 28409 | 2007-03-09 |
| 1477650554 | Jeffrey Beecham Chick | Specialist | 1201 Porches Dr, Suite 2, Wilmington, NC 28409 | 2006-09-20 |
| 1407964067 | Richard A. Lally | Counselor | 5425 Golden Eagle Court, Wilmington, NC 28409 | 2006-08-25 |
| 1598290520 | Monaca Lachman | Counselor | 6020 Leeward Ln, Wilmington, NC 28409-0129 | 2017-04-27 |
| Find all providers in zip 28409 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193114 | Inroad Behavioral and Social Health | Psychologist | 3304 Old Capitol Trl Ste 201, Wilmington, DE 19808-6210 | 2020-04-24 |
| 1609496124 | Doko Medical Inc. | Psychologist | 3422 Old Capitol Trail, # 626, Wilmington, DE 19808 | 2020-04-24 |
| 1407487226 | James Francis Skane Jr. | Psychologist | 123 S 29th St, Wilmington, NC 28403-1223 | 2020-01-30 |
| 1346733631 | Renee Davis | Psychologist | 920 Morningdale Dr, Wilmington, DE 19810-1458 | 2018-06-11 |
| 1982103206 | Elizabeth De La Pena | Psychologist | 1333 Island Ave, Wilmington, CA 90744-2501 | 2018-02-02 |
| 1841728532 | Rogelio Mercado | Psychologist | 1801 Rockland Rd Ste 201, Wilmington, DE 19803-3648 | 2017-05-25 |
| 1497289375 | Aitza Galarza-hernandez | Psychologist | 7517 Quail Woods Rd, Wilmington, NC 28411-7273 | 2017-04-17 |
| 1407206816 | Leeann Trudel | Psychologist | 114 Rockland Cir, Wilmington, DE 19803-4542 | 2016-06-16 |
| 1972964427 | Ostin M Warren | Psychologist | 3411 N Rockfield Dr, Wilmington, DE 19810-3237 | 2016-03-11 |
| 1164882353 | Erika Blinn Geisler | Psychologist | 330 Military Cutoff Rd, Suite A-4, Wilmington, NC 28405-8356 | 2016-03-01 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28409 |
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| 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.