Kyle Max Hancock, PHD, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

74537142501 Issued in UT

Legal business name

KYLE MAX HANCOCK, PHD, PC

Practice address

246 E 1260 N
Logan, UT 84341-7501

Phone

(435) 750-6300

Fax

(435) 753-8995

NPI assigned

Nov 27, 2010

Last updated

Nov 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Max Hancock, PHDNPI 1164748729

Title

Psychologist

Phone

(435) 750-6300

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Max Hancock, PHD

  • Psychologist
  • Logan, UT
  • NPI 1164748729
  Authorized official Same address or phone

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

{
    "created_epoch": "1290816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290816000000",
    "number": "1598067480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 E 1260 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843417501",
            "telephone_number": "435-750-6300",
            "fax_number": "435-753-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 E 1260 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843417501",
            "telephone_number": "435-750-6300",
            "fax_number": "435-753-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE MAX HANCOCK, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-27",
        "last_updated": "2010-11-27",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "435-750-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "74537142501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Logan, UT
• Providers in Logan, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2010; 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.