Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447725809 Individual Practitioner Male Practitioner

Dr. Kyle Raymond Kwon Dexter , PhD

Psychologist • Fairbanks, AK

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Dexter, PhD is a registered healthcare professional specializing in Psychologist in Fairbanks, AK. Practice services are available at 122 1ST AVE STE 400 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

122 1st Ave Ste 400

Fairbanks, AK 997014871

Telephone 9074528251
Associated Practice Facility / Clinic
🏢 Tanana Chiefs Conference Facility NPI 1821201278

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Fairbanks, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Fairbanks, AK (104 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-30
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License AK 164185

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.

Psychologist - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 103TA0400X

State License AK 164185

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License NY 022959

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Cynthia Agnes

Counselor

NPI 1003426776
Kristina Boswood , MED, LPC

Counselor - Professional

NPI 1023247384

Master of Education, Licensed Professional Counselor

Charlie Titus

Counselor - Addiction (Substance Use Disorder)

NPI 1023340056
Debra Dayton

Dental Assistant

NPI 1023365186
Tashina Pitka

Case Manager/Care Coordinator

NPI 1033773205
Celina Risner , CDC I

Counselor - Addiction (Substance Use Disorder)

NPI 1033785639

CDCI

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address November 30, 2022

Registered at 214 DRIVEWAY ST, FAIRBANKS, AK 997012806 (Tel: 6038345929)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2022

Psychologist (License #164185 in AK)

📍
Updated Practice Location May 17, 2021

Registered at 122 1ST AVE STE 400, FAIRBANKS, AK 997014871 (Tel: 9074528251)

📍
Updated Business Mailing Address May 17, 2021

Registered at 949 COPPET ST, FAIRBANKS, AK 997094718 (Tel: 6038345929)

NPI Profile Active October 11, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2018

Registered at 303 5TH AVE STE 1802, NEW YORK, NY 100166601 (Tel: 9177056155)

📍
Updated Business Mailing Address October 11, 2018

Registered at 110 E 36TH ST APT 3F, NEW YORK, NY 100163434 (Tel: 6038345929)

👤
Provider Name / Credentials Updated October 11, 2018

Recorded as KYLE DEXTER, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2018

Psychologist (License #022959 in NY)

🟢
Initial NPI Registration & Enumeration October 11, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447725809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2018
Last Update: November 30, 2022
Sole Proprietor: No

Mailing Address

214 Driveway St

Fairbanks, AK 997012806

Phone: 6038345929

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.