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KEVIN YEATES PHD
NPI 1467905174
Clinical Neuropsychologist in Keesler Afb, MS

Active since July 28, 2016PECOS Enrolled
301 FISHER ST, KEESLER AFB, MS 39534(228) 376-0385 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2024, May 22, 2023, Jul 13, 2021 and 3 more (6 updates tracked since 2018).

About Kevin Yeates Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN YEATES PHD (NPI 1467905174) is an individual clinical neuropsychologist in Keesler Afb, Mississippi, licensed in Washington (PY60883706) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1467905174
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameKEVIN YEATESCredential: PHD
Location Address301 FISHER STKeesler Afb, MS 39534-2508
Mailing Address301 Fisher StKeesler Afb, MS 39534-2508 · (228) 376-0385
Phone(228) 376-0385
Sole ProprietorNo
Enumeration DateJuly 28, 2016
Last NPPES UpdateAugust 20, 20246 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1467905174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in WA · PY60883706
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
301 FISHER ST, Keesler Afb, MS 39534
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Secondary Practice Locations 4

Location 13551 Roger Brooke Dr Bldg 3600Jbsa Ft Sam Houston, TX 78234-4504 · Phone (210) 916-7641
Location 24881 Sugar Maple DrWright Patterson AFB, OH 45433 · Phone (937) 257-6877
Location 3Wilford Hall Ambulatory Surgical Center, Psychology Residency Program 1100 Wilford Hall LoopJbsa Lackland, TX 78236-5638 · Phone (210) 292-7362
Location 4Wilford Hall Ambulatory Surgical Center, Psychology Residency Program, 1100 Wilford Hall LoopJbsa Lackland, TX 78236-5638 · Phone (210) 292-5972

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Yeates Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTINA MARIE DUKES PHARMD
Pharmacist (Oncology)
301 FISHER ST, KEESLER AFB
KEESLER AFB, MS 39534
Harrison County (228) 376-4637
DR. BRICE PETER BOWERMAN MD
Radiology (Diagnostic Radiology)
301 FISHER ST
BILOXI, MS 39534
Harrison County (678) 394-6561
BENNETT ALAN LUCAS MD
Military Health Care Provider
301 FISHER ST
BILOXI, MS 39534
Harrison County (228) 376-2273
DR. DAVID MAX JONES D.D.S.
Dentist (General Practice)
301 FISHER ST
KEESLER AFB, MS 39534
Harrison County (228) 376-0512
JILL ALLYN JOZEFOWICZ DO
Surgery
301 FISHER ST
KEESLER AFB, MS 39534
Harrison County (228) 376-0425
DR. JOSEPH CAMORATTO DPT
Physical Therapist
301 FISHER ST
BILOXI, MS 39534
Harrison County (228) 376-5231
KYLE QUIST
Internal Medicine
301 FISHER ST
BILOXI, MS 39534
Harrison County (601) 988-4698
YVONNE MARIE SCULLEY MD
Obstetrics & Gynecology
301 FISHER ST
KEESLER AFB, MS 39534
Harrison County (228) 376-4118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Yeates's NPI number?

The NPI number for Kevin Yeates is 1467905174. It was assigned to this individual provider in the NPPES registry on July 28, 2016.

Where is Kevin Yeates located?

Kevin Yeates practices at 301 Fisher St, Keesler Afb, MS 39534. The listed phone number is (228) 376-0385.

What is Kevin Yeates's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Kevin Yeates enrolled in Medicare?

Yes. Kevin Yeates is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Yeates was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.