Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD WAYNE MICKELSEN, M.D.
Active Sole ProprietorDR. RICHARD WAYNE MICKELSEN, M.D. is a Psychiatric Neurology healthcare provider located in PROVO, Utah. NPI 1740250372 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · PROVO, UT
Registration Details
- NPI Number
- 1740250372
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2006 (20.546581588648 yrs)
- Last Updated
- Feb 18, 2026
- Licenses
-
5336032-1205 (UT)5336032-1205 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1300 E CENTER STPROVO, UT, 846063554Browse UT providers · Browse ZIP 84606
- Phone
- 8013444215
- Fax
- 8013444225
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
- Additional Specialty
- Psychiatric Neurology
Other Psychiatric Neurology Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| DR. RODNEY A CHEAL | MD | 1073558649 |
| SCOTT R STIEFEL | — | 1235218801 |
| DR. KATHERINE SUZANNE THOMAS | M.D. | 1629368279 |
| TYLER ANDERSON | MD, MHA | 1356633143 |
| JAMES FREEMAN PALMER | DO | 1417214958 |
| DR. MICHOLE DEESING | MD | 1366806630 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.