1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Psychiatry Neurology
  6. NPI Profile

MICHAELA ANTJE SQUIRE DO
NPI 1376164061
Psychiatry & Neurology - Epilepsy in Salt Lake City, UT

Active since May 04, 2020PECOS Enrolled
81 N MARIO CAPECCHI DR RM 4B096, SALT LAKE CITY, UT 84113(801) 581-2121 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2025, May 4, 2020 (2 updates tracked since 2020).

About Michaela Antje Squire Do NPPES

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

MICHAELA ANTJE SQUIRE DO (NPI 1376164061) is an individual epilepsy provider in Salt Lake City, Utah, licensed in Utah (14212907-1204) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chapel Hill.

NPPES Registry Identity

NPI1376164061
Entity TypeIndividualFemale
Primary Taxonomy2084E0001X
Provider Legal NameMICHAELA ANTJE SQUIRECredential: DO
Location Address81 N MARIO CAPECCHI DR RM 4B096Salt Lake City, UT 84113-1125
Mailing Address81 N Mario Capecchi Dr Rm 4b096Salt Lake City, UT 84113-1125 · (801) 581-2121
Phone(801) 581-2121
Sole ProprietorYes
Enumeration DateMay 4, 2020
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1376164061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · EpilepsyAllopathic & Osteopathic Physicians
Taxonomy Code2084E0001X
License✔ Licensed in UT · 14212907-1204
Definition
Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 261938 (NC)
81 N MARIO CAPECCHI DR RM 4B096, Salt Lake City, UT 84113
Open in Google Maps ↗

Secondary Practice Location 1

Location 11512 E Franklin St Ste 100Chapel Hill, NC 27514-2816 · Phone (984) 974-6669 · Fax (984) 974-9609

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michaela Antje Squire Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

DR. LAUREN ELIZABETH CHORNY DO
Psychiatry & Neurology (Epilepsy)
81 N MARIO CAPECCHI DR RM 4B096
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5700

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 Michaela Squire's NPI number?

The NPI number for Michaela Squire is 1376164061. It was assigned to this individual provider in the NPPES registry on May 4, 2020.

Where is Michaela Squire located?

Michaela Squire practices at 81 N Mario Capecchi Dr Rm 4b096, Salt Lake City, UT 84113. The listed phone number is (801) 581-2121.

What is Michaela Squire's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.

Is Michaela Squire enrolled in Medicare?

Yes. Michaela Squire is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michaela Squire was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.