Philip M Yam, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME162822 Issued in FL

Practice address

203 Fort Wade Rd Unit 250
Ponte Vedra Beach, FL 32081-5214

Phone

(904) 902-4408

NPI assigned

Jun 10, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, FL, GA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Psychiatry

Education

New York Medical College, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Serenity TMS Centers LLCGroup PAC ID 0840550596, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Serenity TMS Centers LLC

  • Psychiatry Physician
  • Lehi, UT
  • NPI 1710492095

  FL, GA

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1851686554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 FORT WADE RD UNIT 250",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320815214",
            "telephone_number": "904-902-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 FORT WADE RD UNIT 250",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320815214",
            "telephone_number": "904-902-4408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2849 Paces Ferry Rd SE Ste 350",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303393769",
            "country_code": "US",
            "telephone_number": "678-861-1832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "CNSS-14, MRD BLD 1320",
            "address_2": "Mayport Naval Station",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32228",
            "country_code": "US",
            "telephone_number": "504-270-5947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9400 Southpark Center Loop Ste 450",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328198647",
            "country_code": "US",
            "telephone_number": "689-282-6774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Primera Blvd Ste 520",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462158",
            "country_code": "US",
            "telephone_number": "689-282-6774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "841 Prudential Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078352",
            "country_code": "US",
            "telephone_number": "904-902-4408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Colonial Center Pkwy Ste 350",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300764893",
            "country_code": "US",
            "telephone_number": "678-861-1832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "990 Hammond Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303285510",
            "country_code": "US",
            "telephone_number": "678-861-1832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 Wall Blvd",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "700567875",
            "country_code": "US",
            "telephone_number": "504-207-4905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Russell Ave",
            "address_purpose": "LOCATION",
            "city": "Belle Chasse",
            "state": "LA",
            "postal_code": "700371006",
            "country_code": "US",
            "telephone_number": "504-678-4538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Crestwood Pkwy NW Ste 975",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300967212",
            "country_code": "US",
            "telephone_number": "678-861-1832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAM",
        "first_name": "PHILIP",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "300438",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "109941",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME162822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.