K. Gene Hansen, PH.D.
Individual provider Active NPI Clinical Psychologist · Kearns, UT
NPI 1760469555 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1760469555
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 831120242501 (UT)
- Practice address
- 3809 W 6200 S
Kearns, UT 84118-3725 - Phone
- (801) 963-4209
- Fax
- (801) 963-4299
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 831120242501 | UT | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 831120242501 | UT | Yes |
Addresses
Primary practice location
3809 W 6200 S
Kearns, UT 84118-3725
Mailing address
1976 Wasatch Dr
Salt Lake City, UT 84108-3326
Phone (801) 474-3292
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U009 942938348 | Other | UT | CHAMPUS |
| U006 107021000101 | Other | UT | INTERMOUNTAIN HEALTH CARE |
Other providers in Kearns, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.