Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILIP RANDOLPH YATES, PH. D.
Active Sole ProprietorDR. PHILIP RANDOLPH YATES, PH. D. is a Family Psychologist healthcare provider located in JACKSONVILLE, Florida. NPI 1407902745 is currently active in the NPPES registry. Verify at CMS.
Family Psychologist · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1407902745
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2007 (19.577033530474 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
PY0002702 (FL)PY0002702 (FL)PY0002702 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4465 BAYMEADOWS RD STE 8JACKSONVILLE, FL, 322174727Browse FL providers · Browse ZIP 32217
- Phone
- 9047317222
- Fax
- 9047317406
- Primary Specialty
-
Family Psychologist
103TF0000X
- Additional Specialty
- Counseling Psychologist
- Additional Specialty
- Family Psychologist
Other Family Psychologist Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| KAYLA ROCHELLE BRIGMAN | — | 1639837388 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.