DR. RICHARD WAYNE MICKELSEN M.D. NPI 1740250372

NPI Information

  • NPI: 1740250372
  • Provider Name: DR. RICHARD WAYNE MICKELSEN, M.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • Address: 1300 E CENTER ST
    PROVO, UT
    ZIP 84606
  • Phone: (801) 344-4215

Map and Directions

Get Directions

NPI Details

DR. Richard Wayne Mickelsen, M.D. is a child and adolescent psychiatry psychiatry neurology in Provo, UT. 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. DR. Richard Wayne Mickelsen, M.D. NPI is 1740250372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1300 E CENTER ST
PROVO, UT
ZIP 84606-554
Phone: (801) 344-4215
Fax: (801) 344-4225

The enumeration date for this NPI number is 1/25/2006 and was last updated on 10/17/2025.

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
12084P0800XPsychiatry & NeurologyPsychiatry5336032-1205UTAHNo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry5336032-1205UTAHYes

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 Other Provider Identifier Issuer
1U002OTHERUTAHDESERET MUTUAL
2U003OTHERUTAHEDUCATORS MUTUAL
3U001OTHERUTAHBLUE CROSS
4U006OTHERUTAHINTERMOUTAIN HEALTH CARE
5U009OTHERUTAHCHAMPUS

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI