Dr. Richard Wayne Mickelsen
M.D. | Psychiatry | Child & Adolescent
1300 E Center St, Provo
Utah, 84606-3554
801-344-4215 801-344-4225
Maps & DirectionsDr. 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.