Dr. Jared Scott Yaw, PhD
Psychologist, Clinical Child & Adolescent in Nashville, TN. Individual provider (NPI-1).
NPI number1164067518
StatusActive
Last updated in NPPESJan 7, 2020
Details
- NPI
- 1164067518
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jared Scott Yaw
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2019
- Certification date
- Jan 7, 2020
- Last updated
- Jan 7, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 3222 | TN | Yes |
| 103TC0700X | Psychologist, Clinical | 3222 | TN | |
| 103TH0100X | Psychologist, Health Service | 3222 | TN | |
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | 3222 | TN |
Practice location
907 Maynor StNashville, TN 37216-3021
Phone 423-385-4349
Mailing address
907 Maynor StNashville, TN 37216-3021
Phone 423-385-4349
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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