SOAD MICHELSEN M.D. NPI 1043327703

NPI Information

NPI: 1043327703
Provider Name: SOAD MICHELSEN, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
8535 TOM SLICK
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 582-6440
Get Directions

Soad Michelsen, M.D. is a child and adolescent psychiatry psychiatry neurology in San Antonio, TX with 32 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Soad Michelsen, M.D. NPI is 1043327703. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8535 TOM SLICK
SAN ANTONIO, TX
ZIP 78229-367
Phone: (210) 582-6440
Fax: (210) 692-9021

The NPI 1043327703 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 12/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	L5052	TEXAS	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	L5052	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0154055101	MEDICAID	TEXAS
2	H71934	MEDICARE UPIN	TEXAS
3	8A0307	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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