IndividualActive
Ian Michalak, MD
NPI 1558927608 · Child & Adolescent Psychiatry Physician · Memphis, TN
Provider details
- NPI number
- 1558927608
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 76090 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
770 Estate Pl
Memphis, TN 38120-0600
Phone: (901) 395-2121
Street-level locationGet directions
Mailing address
920 Madison Ave Fl 2
Memphis, TN 38103-3438
Additional practice locations (1)
- 920 Madison Ave Fl 2Memphis, TN 38163-3438Phone: (901) 448-2400
Registry dates
- Enumerated
- 2019-05-14
- Last updated
- 2024-06-28
- Certified
- 2024-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.