Kyle Raymond Kwon Dexter, PHD
NPI 1447725809ActiveIndividual· Psychologist· Fairbanks, AK
Psychologist (PHD) in Fairbanks, Alaska, licensed in AK and NY, with an NPI issued in October 2018. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1447725809 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Oct 11, 2018 |
| Last updated in NPPES | Nov 30, 2022 |
| Certified by provider | Nov 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 164185 | AK |
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | 164185 | AK |
| Psychologist, Clinical | 103TC0700X | 022959 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (TX) |
|---|
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