Richard Mickelsen, M.D.
NPI 1740250372 · Child & Adolescent Psychiatry Physician · Provo, UT
Richard Mickelsen, M.D. is a Child & Adolescent Psychiatry Physician provider in Provo, UT (NPI 1740250372).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 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
Mailing address
Additional practice locations (4)
- 14241 S Redwood Rd Ste 300Bluffdale, UT 84065-5223Phone: (801) 915-6007
- 14241 S Redwood Rd Ste 200Bluffdale, UT 84065-5216Phone: (385) 342-2808Fax: (385) 220-2658
- 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
Frequently asked questions
- What is Richard Mickelsen's NPI number?
- Richard Mickelsen's National Provider Identifier (NPI) is 1740250372, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Mickelsen's specialty?
- Richard Mickelsen is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Richard Mickelsen located?
- Richard Mickelsen's practice location on file with NPPES is 1300 E Center St, Provo, UT 84606-3554.
- What is Richard Mickelsen's phone number?
- The practice phone number listed in the NPPES registry for Richard Mickelsen is (801) 344-4215.
- Is Richard Mickelsen's NPI active?
- Yes — Richard Mickelsen's NPI (1740250372) is active in the NPPES registry as of the last update on 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.