Individual provider · Type 1 NPI

Philip Randolph Yates, PH. D.

Family Psychologist · Jacksonville, FL

NPI number 1407902745 Active

Practice location

4465 Baymeadows Rd Ste 8
Jacksonville, FL 32217-4727

Fax (904) 731-7406

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XPY0002702 (FL)
Counseling Psychologist 103TC1900XPY0002702 (FL)
Family Psychologist Primary 103TF0000XPY0002702 (FL)

Family Psychologist: A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.

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About NPI 1407902745

Philip Randolph Yates, PH. D.'s National Provider Identifier is 1407902745, issued on Jan 27, 2007. The primary taxonomy on file is Family Psychologist (103TF0000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 11, 2025.