Dr Philip Randolph Yates, PH D - Psychologist in Jacksonville, FL

Dr Philip Randolph Yates, PH D is a Psychologist - Family based in Jacksonville, Florida. Dr Philip Randolph Yates is licensed to practice in Florida (license number PY0002702) and his current practice location is 4465 Baymeadows Rd Ste 8, Jacksonville, Florida. He can be reached at his office (for appointments etc.) via phone at (904) 731-7222.

NPI number for Dr Philip Randolph Yates is 1407902745 and his current mailing address is 4465 Baymeadows Rd Ste 8, Jacksonville, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407902745.

Contact Information

Dr Philip Randolph Yates, PH D
4465 Baymeadows Rd Ste 8,
Jacksonville, FL 32217-4727
(904) 731-7222
(904) 731-7406

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Healthcare Provider's Profile

Full NameDr Philip Randolph Yates
GenderMale
SpecialityPsychologist - Family
Location4465 Baymeadows Rd Ste 8, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407902745
  • Provider Enumeration Date: 01/27/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Philip Randolph Yates such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407902745NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY0002702 (Florida)Primary
103TC1900XPsychologist - Counseling PY0002702 (Florida)Primary
103TF0000XPsychologist - Family PY0002702 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Philip Randolph Yates is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Philip Randolph Yates, PH D
4465 Baymeadows Rd Ste 8,
Jacksonville, FL 32217-4727

Ph: (904) 731-7222
Dr Philip Randolph Yates, PH D
4465 Baymeadows Rd Ste 8,
Jacksonville, FL 32217-4727

Ph: (904) 731-7222

Reviews and Comments


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