Individual provider · Type 1 NPI

Richard Wayne Mickelsen, MD

Child & Adolescent Psychiatry Physician · Provo, UT

NPI number 1740250372 Active

Practice location

1300 E Center St
Provo, UT 84606-3554

Call (801) 344-4215 Map

Fax (801) 344-4225

Other practice locations

  • 327 W Gordon Ave Ste 2, Layton, UT 84041-2381 · (385) 342-2808
  • 14241 S Redwood Rd Ste 200, Bluffdale, UT 84065-5216 · (385) 342-2808
  • 12595 S Minuteman Dr, Draper, UT 84020-9541 · (801) 572-6989
  • 14241 S Redwood Rd Ste 300, Bluffdale, UT 84065-5223 · (801) 915-6007

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X5336032-1205 (UT)
Child & Adolescent Psychiatry Physician Primary 2084P0804X5336032-1205 (UT)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1740250372

Richard Wayne Mickelsen, MD's National Provider Identifier is 1740250372, issued on Jan 25, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Provo, UT. The record was last updated on Feb 18, 2026.