DR. PHILIP RANDOLPH YATES (PH. D.) – Family Psychologist, NPI 1407902745

Family Psychologist

DR. PHILIP RANDOLPH YATES (PH. D.) is a healthcare provider. based in Jacksonville, Florida. specializing in Family Psychologist. They hold the professional credentials PH. D.. They hold a License No. PY0002702 (FL). The NPI Number for DR. PHILIP RANDOLPH YATES (PH. D.) is 1407902745

Main info

Male

Sole Proprietor

Name

DR. PHILIP RANDOLPH YATES (PH. D.)

NPI

1407902745

Phone

(904) 731-7222

Address

4465 BAYMEADOWS RD STE 8

Enumeration Date

27 January 2007

Last Update Date

11 September 2025

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness85

Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. PHILIP RANDOLPH YATES (PH. D.)

4465 BAYMEADOWS RD STE 8
JACKSONVILLE, FL 322174727
Phone: (904) 731-7222
Fax: (904) 731-7406
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32217)

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Reviews

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Frequently asked questions

What federal number belongs to DR. PHILIP RANDOLPH YATES (PH. D.)?

The federal identifier for DR. PHILIP RANDOLPH YATES (PH. D.) is NPI 1407902745.

Does this profile mean DR. PHILIP RANDOLPH YATES (PH. D.) is currently active?

Yes — DR. PHILIP RANDOLPH YATES (PH. D.) appears active in the national provider directory.

What does DR. PHILIP RANDOLPH YATES (PH. D.) treat or focus on?

Patients typically see DR. PHILIP RANDOLPH YATES (PH. D.) under the specialty Family Psychologist. Clinical services aligned with this taxonomy classification.

Where is DR. PHILIP RANDOLPH YATES (PH. D.)'s primary listing?

We display Jacksonville, Florida because that is what the record indicates for DR. PHILIP RANDOLPH YATES (PH. D.).

Is DR. PHILIP RANDOLPH YATES (PH. D.) a real provider?

This page reflects official NPPES data for NPI 1407902745. Always confirm identity and privileges with the practice and licensing boards.