Susanna Ciccolari Micaldi, MD
NPI 1790190791 · Child & Adolescent Psychiatry Physician · Wichita, KS
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susanna Ciccolari Micaldi, MD is a Child & Adolescent Psychiatry Physician provider in Wichita, KS (NPI 1790190791).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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 (3)
- 1010 N Kansas StWichita, KS 67214-3124Phone: (316) 293-2611Fax: (316) 293-1882
- 929 N Saint Francis AveWichita, KS 67214-3821Phone: (316) 293-2611Fax: (316) 293-1882
- 3600 E Harry StWichita, KS 67218-3713Phone: (316) 293-2611Fax: (316) 293-1882
Registry dates
- Enumerated
- 2014-06-27
- Last updated
- 2023-06-21
- Certified
- 2023-06-21
Frequently asked questions
- What is Susanna Ciccolari Micaldi's NPI number?
- Susanna Ciccolari Micaldi's National Provider Identifier (NPI) is 1790190791, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susanna Ciccolari Micaldi's specialty?
- Susanna Ciccolari Micaldi is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Susanna Ciccolari Micaldi located?
- Susanna Ciccolari Micaldi's practice location on file with NPPES is 1001 N. Minneapolis St, Wichita, KS 67214-3127.
- What is Susanna Ciccolari Micaldi's phone number?
- The practice phone number listed in the NPPES registry for Susanna Ciccolari Micaldi is (316) 293-2647.
- Does Susanna Ciccolari Micaldi accept Medicare?
- Susanna Ciccolari Micaldi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susanna Ciccolari Micaldi's NPI active?
- Yes — Susanna Ciccolari Micaldi's NPI (1790190791) is active in the NPPES registry as of the last update on 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.