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

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Practice location Address checks out

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

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