Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edwin Mikkelsen, MD

Individual provider Psychiatry Physician · NPI 1992756530

Dr. Edwin Mikkelsen, MD is a Psychiatry Physician in Wellesley, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

67 Yarmouth Rd
Wellesley, MA 02481-1248
Phone: (617) 790-4248
Fax: (781) 237-5953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 36837 (MA)

Record details

NPI number1992756530
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 15, 2006
Last updated in NPPESJuly 8, 2007
Mailing address67 Yarmouth Rd, Wellesley, MA 02481-1248

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