Micah Prairie Chicken, PHD, LP
NPI 1518640473 · Clinical Psychologist · Minneapolis, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Micah Prairie Chicken, PHD, LP is a Clinical Psychologist provider in Minneapolis, MN (NPI 1518640473).
Provider details
- NPI number
- 1518640473
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD, LP
- Sex
- Male
- Sole proprietor
- No
- License
- LP6960 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-08-08
- Last updated
- 2023-08-08
- Certified
- 2023-08-08
Frequently asked questions
- What is Micah Prairie Chicken's NPI number?
- Micah Prairie Chicken's National Provider Identifier (NPI) is 1518640473, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Micah Prairie Chicken's specialty?
- Micah Prairie Chicken is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Micah Prairie Chicken located?
- Micah Prairie Chicken's practice location on file with NPPES is 2101 Minnehaha Ave, Minneapolis, MN 55404-3107.
- What is Micah Prairie Chicken's phone number?
- The practice phone number listed in the NPPES registry for Micah Prairie Chicken is (612) 721-9877.
- Does Micah Prairie Chicken accept Medicare?
- Micah Prairie Chicken is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Micah Prairie Chicken's NPI active?
- Yes — Micah Prairie Chicken's NPI (1518640473) is active in the NPPES registry as of the last update on 2023-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.