DR. KYLE RAYMOND KWON DEXTER PHD
NPI 1447725809
Psychologist in Fairbanks, AK

Active since October 11, 2018PECOS Enrolled
122 1ST AVE STE 400, FAIRBANKS, AK 99701(907) 452-8251 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2022, May 17, 2021, Oct 11, 2018 (3 updates tracked since 2018).

About Dr. Kyle Raymond Kwon Dexter Phd NPPES

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

DR. KYLE RAYMOND KWON DEXTER PHD (NPI 1447725809) is an individual psychologist in Fairbanks, Alaska, licensed in Alaska (164185) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447725809
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. KYLE RAYMOND KWON DEXTERCredential: PHD
Location Address122 1ST AVE STE 400Fairbanks, AK 99701-4871
Mailing Address214 Driveway StFairbanks, AK 99701-2806 · (603) 834-5929
Sole ProprietorNo
Enumeration DateOctober 11, 2018
Last NPPES UpdateNovember 30, 20223 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
NPI 1447725809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in AK · 164185
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.
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 164185 (AK)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 022959 (NY)
122 1ST AVE STE 400, Fairbanks, AK 99701

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kyle Raymond Kwon Dexter Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

Case Manager/Care Coordinator
122 1ST AVE STE 400
FAIRBANKS, AK 99701
Social Worker (Clinical)
122 1ST AVE STE 400
FAIRBANKS, AK 99701
Case Manager/Care Coordinator
122 1ST AVE STE 400
FAIRBANKS, AK 99701
Community/Behavioral Health
122 1ST AVE STE 400
FAIRBANKS, AK 99701
Counselor (Professional)
122 1ST AVE STE 400
FAIRBANKS, AK 99701
Counselor (Mental Health)
122 1ST AVE STE 400
FAIRBANKS, AK 99701
Psychiatry & Neurology (Psychiatry)
122 1ST AVE STE 400
FAIRBANKS, AK 99701
Social Worker (Clinical)
122 1ST AVE STE 400
FAIRBANKS, AK 99701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Dexter's NPI number?

The NPI number for Kyle Dexter is 1447725809. It was assigned to this individual provider in the NPPES registry on October 11, 2018.

Where is Kyle Dexter located?

Kyle Dexter practices at 122 1st Ave Ste 400, Fairbanks, AK 99701. The listed phone number is (907) 452-8251.

What is Kyle Dexter's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kyle Dexter enrolled in Medicare?

Yes. Kyle Dexter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Dexter was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.