Angela Hicks, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

9124372-2501 Issued in UT

Practice address

349 E 900 S
Salt Lake City, UT 84111-4331

Phone

(801) 232-4725

Fax

(801) 487-2930

NPI assigned

Feb 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Hall Physical Therapy LLC

  dba Hall PT

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  • Salt Lake City, UT
  • NPI 1174009054
  NPD (past)
• Wendy Hoyt, PC

  dba Utah Center for Eating Disorders

  • Counseling Psychologist
  • Salt Lake City, UT
  • NPI 1538400791
  NPD (past)

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1548651789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 E 900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841114331",
            "telephone_number": "801-232-4725",
            "fax_number": "801-487-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 E 900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841114331",
            "telephone_number": "801-232-4725",
            "fax_number": "801-487-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "9124372-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Hickenlooper, DPT
• Scott Hickey
• Tess M. Hickey, MD
• Matt Hickman
• Sydney Hickman
• Kelli L. Hicks, MD
• Morgan Hicks
• Parker Douglas Hicks
• Ronald Ernest Hicks, D.D.S.
• Taylor Wright Hicks, NP

• Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.