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RACHEL MICKELSON
NPI 1245585157
Psychologist - Clinical in South Bend, IN

Active since July 17, 2012
2106 IRONWOOD CIR, SOUTH BEND, IN 46635(574) 243-9370 Get Directions Write a Review

NPPES record last updated: July 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rachel Mickelson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RACHEL MICKELSON (NPI 1245585157) is a healthcare organization registered as a clinical in South Bend, Indiana and active in the NPI registry since July 2012. The organization lists Rachel Lynn Mickelson, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1245585157
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameRACHEL MICKELSON
Location Address2106 IRONWOOD CIRSouth Bend, IN 46635-1864
Mailing Address2106 Ironwood CirSouth Bend, IN 46635-1864
Phone(574) 243-9370
Organization SubpartNo
Authorized OfficialRachel Lynn MickelsonClinical Psychologist · (574) 243-9370
Enumeration DateJuly 17, 2012
✔ NPI 1245585157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IN · 20042493A
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2106 IRONWOOD CIR, South Bend, IN 46635
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH G GLAZIER MD
Pain Medicine (Interventional Pain Medicine)
2106 IRONWOOD CIR
SOUTH BEND, IN 46635
St. Joseph County (574) 247-4682
PAIN MANAGEMENT CARE PC
Specialist
2106 IRONWOOD CIR
SOUTH BEND, IN 46635
St. Joseph County (574) 247-4682
KRYSTAL FAYE KALB-WELDY LMHC, RPT
Counselor (Mental Health)
2106 IRONWOOD CIR
SOUTH BEND, IN 46635
St. Joseph County (574) 243-9370
CHRISTINE F STACEY LCSW
Social Worker (Clinical)
2106 IRONWOOD CIR
SOUTH BEND, IN 46635
St. Joseph County (574) 243-9370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rachel Mickelson's NPI number?

The NPI number for Rachel Mickelson is 1245585157. It was assigned to this organization in the NPPES registry on July 17, 2012.

Where is Rachel Mickelson located?

Rachel Mickelson is located at 2106 Ironwood Cir, South Bend, IN 46635. The listed phone number is (574) 243-9370.

What is Rachel Mickelson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Rachel Mickelson was last updated on July 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.