Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Philip Randolph Yates, PHD

Individual provider Psychologist · NPI 1407902745

Dr. Philip Randolph Yates, PHD is a Psychologist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

4465 Baymeadows Rd Ste 8
Jacksonville, FL 32217-4727
Phone: (904) 731-7222
Fax: (904) 731-7406
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Psychologist (primary) Taxonomy 103TF0000X · Licence PY0002702 (FL)
Psychologist Taxonomy 103T00000X · Licence PY0002702 (FL)
Counseling Psychologist Taxonomy 103TC1900X · Licence PY0002702 (FL)

Record details

NPI number1407902745
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 27, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address4465 Baymeadows Rd Ste 8, Jacksonville, FL 32217-4727

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