IndividualActive
Susanna Ciccolari Micaldi, MD
NPI 1790190791 · Child & Adolescent Psychiatry Physician · Wichita, KS
Provider details
- NPI number
- 1790190791
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 94-08402 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1001 N. Minneapolis St
Wichita, KS 67214-3127
Phone: (316) 293-2647
Fax: (855) 476-0305
Approximate (ZIP-level) locationGet directions
Mailing address
1001 N Minneapolis St
Wichita, KS 67214-3127
Additional practice locations (3)
- 3600 E Harry StWichita, KS 67218-3713Phone: (316) 293-2611Fax: (316) 293-1882
- 929 N Saint Francis AveWichita, KS 67214-3821Phone: (316) 293-2611Fax: (316) 293-1882
- 1010 N Kansas StWichita, KS 67214-3124Phone: (316) 293-2611Fax: (316) 293-1882
Registry dates
- Enumerated
- 2014-06-27
- Last updated
- 2023-06-21
- Certified
- 2023-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.