DR. KYLE MAX HANCOCK PHD
NPI 1164748729
Psychologist in Logan, UT

Active since April 07, 2010PECOS EnrolledAccepts Medicare Assignment
246 E 1260 N, LOGAN, UT 84341(435) 750-6300(435) 753-8995 Get Directions Write a Review

NPPES record last updated: April 7, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kyle Max Hancock Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KYLE MAX HANCOCK PHD (NPI 1164748729) is an individual psychologist in Logan, Utah, licensed in Utah (74537142501) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1164748729
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. KYLE MAX HANCOCKCredential: PHD
Location Address246 E 1260 NLogan, UT 84341-7501
Mailing Address246 E 1260 NLogan, UT 84341-7501 · (435) 750-6300 · Fax (435) 753-8995
Fax(435) 753-8995
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 7, 2010
NPI 1164748729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in UT · 74537142501
Definition

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.

246 E 1260 N, Logan, UT 84341

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kyle Max Hancock Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42490799
PECOS Enrollment IDI20110211000885
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
246 E 1260 N
LOGAN, UT 84341
Speech-Language Pathologist
246 E 1260 N
LOGAN, UT 84341
Psychologist (Clinical)
246 E 1260 N
LOGAN, UT 84341
Psychologist (Clinical)
246 E 1260 N
LOGAN, UT 84341
Community/Behavioral Health
246 E 1260 N
LOGAN, UT 84341
Psychologist
246 E 1260 N
LOGAN, UT 84341
Psychologist (Clinical)
246 E 1260 N
LOGAN, UT 84341
Social Worker (Clinical)
246 E 1260 N
LOGAN, UT 84341

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164748729, enumerated as an "individual" on April 07, 2010.

The provider is located at 246 E 1260 N LOGAN, UT 84341 and the phone number is (435) 750-6300.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.