IndividualActive
Richard Mickelsen, M.D.
NPI 1740250372 · Child & Adolescent Psychiatry Physician · Provo, UT
Provider details
- NPI number
- 1740250372
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5336032-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1300 E Center St
Provo, UT 84606-3554
Phone: (801) 344-4215
Fax: (801) 344-4225
Approximate (ZIP-level) locationGet directions
Mailing address
1300 E Center St
Provo, UT 84606-3554
Additional practice locations (4)
- 14241 S Redwood Rd Ste 200Bluffdale, UT 84065-5216Phone: (385) 342-2808Fax: (385) 220-2658
- 14241 S Redwood Rd Ste 300Bluffdale, UT 84065-5223Phone: (801) 915-6007
- 12595 S Minuteman DrDraper, UT 84020-9541Phone: (801) 572-6989
- 327 W Gordon Ave Ste 2Layton, UT 84041-2381Phone: (385) 342-2808Fax: (385) 220-2658
Registry dates
- Enumerated
- 2006-01-25
- Last updated
- 2026-02-18
- Certified
- 2026-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.