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DR. RICHARD WAYNE MICKELSEN M.D.
NPI 1740250372
Psychiatry & Neurology - Child & Adolescent Psychiatry in Provo, UT

Active since January 25, 2006
1300 E CENTER ST, PROVO, UT 84606(801) 344-4215(801) 344-4225 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Richard Wayne Mickelsen M.d. NPPES

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

DR. RICHARD WAYNE MICKELSEN M.D. (NPI 1740250372) is an individual child & adolescent psychiatry provider in Provo, Utah, licensed in Utah (5336032-1205) and active in the NPI registry since January 2006. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1740250372
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. RICHARD WAYNE MICKELSENCredential: M.D.
Location Address1300 E CENTER STProvo, UT 84606-3554
Mailing Address1300 E Center StProvo, UT 84606-3554 · (801) 344-4400 · Fax (801) 344-4225
Phone(801) 344-4215
Fax(801) 344-4225
Sole ProprietorYes
Enumeration DateJanuary 25, 2006
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1740250372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in UT · 5336032-1205
Definition
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.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 5336032-1205 (UT)
1300 E CENTER ST, Provo, UT 84606
Open in Google Maps ↗

Secondary Practice Locations 4

Location 114241 S Redwood Rd Ste 200Bluffdale, UT 84065-5216 · Phone (385) 342-2808 · Fax (385) 220-2658
Location 212595 S Minuteman DrDraper, UT 84020-9541 · Phone (801) 572-6989
Location 314241 S Redwood Rd Ste 300Bluffdale, UT 84065-5223 · Phone (801) 915-6007
Location 4327 W Gordon Ave Ste 2Layton, UT 84041-2381 · Phone (385) 342-2808 · Fax (385) 220-2658

Other Identifiers 5

OtherU002UT · Deseret Mutual
OtherU003UT · Educators Mutual
OtherU001UT · Blue Cross
OtherU006UT · Intermoutain Health Care
OtherU009UT · Champus

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

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.

AARON EUGENE DEGRISELLES CTRS
Recreation Therapist
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4226
BRENNA GARRETT LCSW
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4400
EDWARD LESLIE KELLY MD
Psychiatry & Neurology (Forensic Psychiatry)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4400
WILLIAM KORY CAMP LCSW
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4215
UTAH STATE HOSPITAL
Psychiatric Hospital
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4331
KATIE DUVALL
Student in an Organized Health Care Education/Training Program
1300 E CENTER ST
PROVO, UT 84606
Utah County (013) 444-4400
KAZIA RYAN M.A.
Counselor
1300 E CENTER ST
PROVO, UT 84606
Utah County (385) 208-6904
THOMAS PAYNE LCSW
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4400

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 Richard Mickelsen's NPI number?

The NPI number for Richard Mickelsen is 1740250372. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Richard Mickelsen located?

Richard Mickelsen practices at 1300 E Center St, Provo, UT 84606. The listed phone number is (801) 344-4215.

What is Richard Mickelsen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

What insurance does Richard Mickelsen accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Richard Mickelsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Mickelsen was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.