DR. KYLE MAX HANCOCK (NPI# 1164748729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164748729 |
| Entity Type | Individual |
| Full Name | DR. KYLE MAX HANCOCK |
| Credential | PHD |
| Practice Address |
246 E 1260 N Logan UT 84341-7501 |
| Practice Telephone | 4357506300 |
| Practice Fax Number | 4357538995 |
| Mailing Telephone | 4357506300 |
| Mailing Fax Number | 4357538995 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 74537142501 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134534761 | Kyle John Hancock | Orthopaedic Surgery | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2014-06-23 |
| Street Address |
246 E 1260 N |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831102052 | Bruce R. Johns | Psychologist | 246 E 1260 N, Logan, UT 84341 | 2006-08-15 |
| 1275152910 | Mount Logan Clinic | Counselor | 246 E 1260 N, Logan, UT 84341-7501 | 2020-04-13 |
| 1073059580 | Monique Frazier, Ph.d., P.C. | Psychologist | 246 E 1260 N, Logan, UT 84341-7501 | 2017-01-09 |
| 1841656162 | Kendal Pritchard | Counselor | 246 E 1260 N, Logan, UT 84341-7501 | 2016-01-04 |
| 1760867519 | Sara Marlene Boghosian | Psychologist | 246 E 1260 N, Logan, UT 84341-7501 | 2015-07-22 |
| 1598067480 | Kyle Max Hancock, Phd, PC | Community/Behavioral Health | 246 E 1260 N, Logan, UT 84341-7501 | 2010-11-27 |
| 1063655249 | Jeremy Clayton Hilton I | Social Worker | 246 E 1260 N, Logan, UT 84341 | 2009-04-17 |
| 1417116377 | Audrey Lynn Hivner | Speech-Language Pathologist | 246 E 1260 N, Logan, UT 84341-7501 | 2008-06-05 |
| 1336273481 | David E Christian | Psychologist | 246 E 1260 N, Logan, UT 84341-7501 | 2007-03-14 |
| 1013040617 | Monique R Frazier | Psychologist | 246 E 1260 N, Logan, UT 84341-7501 | 2007-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922523844 | David E Christian Phd PC | Psychologist | 629 S 575 W, Logan, UT 84321-5162 | 2017-08-11 |
| 1558697805 | Marilynne Glatfelter | Psychologist | 786 N 1500 E, Logan, UT 84321-4358 | 2009-10-21 |
| 1558452003 | Roueida Ghadban | Psychologist | 90 East 200 North, Bear River Mental Health, Logan, UT 84321 | 2006-09-28 |
| 1104858695 | Gretchen Gimpel Peacock | Psychologist | 2810 Old Main Hl, Department of Psychology, Logan, UT 84322-2810 | 2006-07-07 |
| 1972730117 | Carolyn Gay Barcus | Psychologist | 2810 Old Main Hl, Logan, UT 84322-2810 | 2009-06-15 |
| 1104003599 | Krystal Gail Stollings | Psychologist | 506 Holly Ave, Logan, WV 25601-3306 | 2008-01-28 |
| 1134326689 | Graca Maria De Oliveira Costa | Psychologist | 90 E 200 N, Logan, UT 84321-4034 | 2007-06-28 |
| 1346390267 | Cassie Ward | Psychologist | 306 Main St, Logan, WV 25601-3906 | 2007-01-11 |
| 1740330943 | Psychological Associates of Logan | Psychologist | 306 Main St, Logan, WV 25601-3906 | 2007-01-11 |
| 1417038530 | Kenneth George Weigand | Psychologist | 246 E 1260 N, Logan, UT 84341-7501 | 2006-10-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.