Search › Utah › Child & Adolescent Psychiatry
Richard Mickelsen, M.D
NPI 1740250372 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1300 E Center St
Provo, UT 84606 - Phone
- (801) 344-4215
- Fax
- (801) 344-4225
- Organisation at this address
- State Of Utah
Utah State Hospital
Utah State Hospital PharmacyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 149
Additional practice sites
- 14241 S Redwood Rd Ste 200, Bluffdale, UT
- 12595 S Minuteman Dr, Draper, UT
- 14241 S Redwood Rd Ste 300, Bluffdale, UT
- 327 W Gordon Ave Ste 2, Layton, UT
Registry record
- Primary taxonomy
- Child & Adolescent Psychiatry
2084P0804X
- Also registered as
- Psychiatry
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah