SUSAN F MICKEL M.D., PH.D.
NPI 1356441018
Psychiatry & Neurology - Neurology in Racine, WI

Active since September 23, 2006
1717 TAYLOR AVE, RACINE, WI 53403(262) 638-6744(262) 638-6540 Get Directions Write a Review

NPPES record last updated: August 22, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan F Mickel M.d., Ph.d. NPPES

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

SUSAN F MICKEL M.D., PH.D. (NPI 1356441018) is an individual neurology provider in Racine, Wisconsin, licensed in Wisconsin (28735) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1356441018
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameSUSAN F MICKELCredential: M.D., PH.D.
Location Address1717 TAYLOR AVERacine, WI 53403-2405
Mailing Address1717 Taylor AveRacine, WI 53403-2405 · (262) 638-6744 · Fax (262) 638-6540
Fax(262) 638-6540
Sole ProprietorNo
Enumeration DateSeptember 23, 2006
Last NPPES UpdateAugust 22, 2013
NPI 1356441018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in WI · 28735
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychologistTaxonomy 103T00000X · License 3113-57 (WI)
1717 TAYLOR AVE, Racine, WI 53403

Other Identifiers 4

Medicare ID-Type Unspecified021572200WI
Medicare UPINB55084
Medicare PIN322500129WI
Medicaid1356441018WI

Other Providers at the Same Location NPPES 20

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

Community/Behavioral Health
1717 TAYLOR AVE
RACINE, WI 53403
Case Management
1717 TAYLOR AVE
RACINE, WI 53403
Counselor (Addiction (Substance Use Disorder))
1717 TAYLOR AVE
RACINE, WI 53403
Community/Behavioral Health
1717 TAYLOR AVE
RACINE, WI 53403
Community/Behavioral Health
1717 TAYLOR AVE
RACINE, WI 53403
Social Worker (Clinical)
1717 TAYLOR AVE
RACINE, WI 53403
Community/Behavioral Health
1717 TAYLOR AVE
RACINE, WI 53403
Social Worker (Clinical)
1717 TAYLOR AVE
RACINE, WI 53403

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 Susan Mickel's NPI number?

The NPI number for Susan Mickel is 1356441018. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Where is Susan Mickel located?

Susan Mickel practices at 1717 Taylor Ave, Racine, WI 53403. The listed phone number is (262) 638-6744.

What is Susan Mickel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Susan Mickel was last updated on August 22, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.