Dr. Richard Wayne Mickelsen is a Provo, Utah based psychiatrist who is specialized in Child & Adolescent. Active license number of Dr. Richard Wayne Mickelsen is 5336032-1205 for Child & Adolescent in Utah. His current practice location is 1300 E Center St, Provo. Patients can reach him at 801-344-4215 or can fax him at 801-344-4225. Dr. Richard Wayne Mickelsen is M.D. in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1740250372. Dr. Richard Wayne Mickelsen has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Dr. Richard Wayne Mickelsen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Richard Wayne Mickelsen
Specialization:
Child & Adolescent
Gender:
Male
Credentials:
M.D.
Practice Address:
1300 E Center St, Provo, Utah, 84606-3554
Phone:
801-344-4215
Fax:
801-344-4225
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1740250372
NPI Enumeration Date:
25 Jan, 2006
NPI Last Update On:
03 Aug, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Richard Wayne Mickelsen are as mentioned below.
License Number
Specialization
State
Status
5336032-1205
Child & Adolescent
Utah
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Richard Wayne Mickelsen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
U002
Other
Utah
DESERET MUTUAL
U003
Other
Utah
EDUCATORS MUTUAL
U001
Other
Utah
BLUE CROSS
U006
Other
Utah
INTERMOUTAIN HEALTH CARE
U009
Other
Utah
CHAMPUS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Richard Wayne Mickelsen 1300 E Center St, Provo, Utah
Zip:
84606-3554
Phone Number:
801-344-4400
Fax Number:
801-344-4225
Patients can reach Dr. Richard Wayne Mickelsen at 1300 E Center St, Provo, Utah or can call to book an appointment on 801-344-4215.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.