KYLE MAX HANCOCK, PHD, PC (NPI# 1598067480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598067480 |
| Entity Type | Organization |
| Organization Name | KYLE MAX HANCOCK, PHD, PC |
| 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 | 2010-11-27 |
| Last Update Date | 2010-11-27 |
| Authorized Official Name | DR. KYLE MAX HANCOCK (PSYCHOLOGIST) |
| Authorized Official Telephone | 4357506300 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 74537142501 | UT | Agencies |
| 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 |
| 1164748729 | Kyle Max Hancock | Psychologist | 246 E 1260 N, Logan, UT 84341-7501 | 2010-04-07 |
| 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 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558676239 | Behavioral Mental Health Services, PC | Community/Behavioral Health | 40 W Cache Valley Blvd Ste 10a, Logan, UT 84341-8450 | 2010-08-18 |
| 1063679785 | Utah State University | Community/Behavioral Health | 6813 Old Main Hill, Logan, UT 84322-6813 | 2008-05-20 |
| 1821520826 | Renee Galliher Psychological Services LLC | Community/Behavioral Health | 965 S 100 W Ste 204, Logan, UT 84321-6072 | 2017-03-29 |
| 1326192436 | Logan-mingo Area Mental Health, Inc. | Community/Behavioral Health | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2007-01-23 |
| 1124181136 | Summit Counseling Services, Inc | Community/Behavioral Health | 95 W 100 S, Suite 130, Logan, UT 84321-5810 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571306 | Alliance Counseling Utah | Community/Behavioral Health | 47 W 9000 S Ste 1, Sandy, UT 84070-2043 | 2020-08-31 |
| 1609489939 | The Arise Society | Community/Behavioral Health | 784 S River Ridge Ln, Spanish Fork, UT 84660-4712 | 2020-08-26 |
| 1639789464 | Enduring Connections Counseling Services LLC | Community/Behavioral Health | 4659 S Highland Dr, Salt Lake City, UT 84117-5137 | 2020-08-06 |
| 1841809324 | Mind and Matter Therapy | Community/Behavioral Health | 75 E Fort Union Blvd # 116, Midvale, UT 84047-1531 | 2020-07-30 |
| 1952927410 | Harmony Therapy Center LLC | Community/Behavioral Health | 752 E 1300 N, Pleasant Grove, UT 84062-1995 | 2020-06-22 |
| 1033733001 | Jessica Jo Pllc | Community/Behavioral Health | 3527 S 1200 E, Salt Lake City, UT 84106-2425 | 2020-06-04 |
| 1407479538 | Onwardlife | Community/Behavioral Health | 2998 E 9690 S, Sandy, UT 84092-3542 | 2020-05-23 |
| 1467071407 | Cancer Wellness House, Inc. | Community/Behavioral Health | 59 S 1100 E, Salt Lake City, UT 84102-1508 | 2020-04-09 |
| 1346875382 | Recovery Innovations Inc | Community/Behavioral Health | 2411 S 1070 W Ste A, West Valley City, UT 84119-1569 | 2020-03-10 |
| 1144854944 | Brenna M. Schaffer | Community/Behavioral Health | 950 E 600 S, Heber City, UT 84032-4469 | 2020-03-02 |
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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.