DR. RICHARD WAYNE MICKELSEN M.D.
NPI 1740250372
Psychiatry & Neurology - Child & Adolescent Psychiatry in Provo, UT
NPI Status: Active since January 25, 2006
Contact Information
1300 E CENTER ST
PROVO, UT
ZIP 84606
Phone: (801) 344-4215
Fax: (801) 344-4225
- Individual
- Male
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
- Accepts Insurance
About RICHARD MICKELSEN
This page provides the complete NPI Profile along with additional information for Richard Mickelsen, a provider established in Provo, Utah with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1740250372 assigned on January 2006. The practitioner's primary taxonomy code is 2084P0804X with license number 5336032-1205 (UT). The provider is registered as an individual and his NPI record was last updated February 2026.
- NPI
- 1740250372
- Provider Name
- DR. RICHARD WAYNE MICKELSEN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1300 E CENTER ST PROVO, UT 84606
- Location Phone
- (801) 344-4215
- Location Fax
- (801) 344-4225
- Mailing Address
- 1300 E CENTER ST PROVO, UT 84606
- Mailing Phone
- (801) 344-4400
- Mailing Fax
- (801) 344-4225
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-25-2006
- Last Update Date
- 02-18-2026
- Code Navigator
Location Map
Secondary Locations
- 327 W Gordon Ave Ste 2
Layton, UT 84041
(385) 342-2808 - 14241 S Redwood Rd Ste 200
Bluffdale, UT 84065
(385) 342-2808 - 14241 S Redwood Rd Ste 300
Bluffdale, UT 84065
(801) 915-6007 - 12595 S Minuteman Dr
Draper, UT 84020
(801) 572-6989
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 5336032-1205
- License State
- UT
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 5336032-1205 (UT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - HMO
- BridgeSpan Standard Gold Plan - HMO
- BridgeSpan Standard Silver Plan - HMO
- Bronze 8000 - EPO
- Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
- Bronze HSA 7000 - EPO
- Gold 2300 - EPO
- Regence Standard Bronze 7500 - EPO
- Regence Standard Gold 2000 - EPO
- Regence Standard Silver 6000 - EPO
- Silver 6500 - EPO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
- U Health Plus Bronze - EPO
- U Health Plus Expanded Bronze Standard - EPO
- U Health Plus Gold - EPO
- U Health Plus Gold Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| U002 | OTHER (01) | UT | DESERET MUTUAL |
| U003 | OTHER (01) | UT | EDUCATORS MUTUAL |
| U001 | OTHER (01) | UT | BLUE CROSS |
| U006 | OTHER (01) | UT | INTERMOUTAIN HEALTH CARE |
| U009 | OTHER (01) | UT | CHAMPUS |
Reviews for DR. RICHARD WAYNE MICKELSEN M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1740250372, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PROVO, UT 84606
PROVO, UT 84606
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740250372, enumerated as an "individual" on January 25, 2006.
The provider is located at 1300 E CENTER ST PROVO, UT 84606 and the phone number is (801) 344-4215.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.
The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.
