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

Dr. Richard Wayne Mickelsen, MD

Individual provider Psychiatry Physician · NPI 1740250372

Dr. Richard Wayne Mickelsen, MD is a Psychiatry Physician in Provo, Utah. Practices as a sole proprietor and works from 5 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2006
Specialties on file
2
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

1300 E Center St
Provo, UT 84606-3554
Phone: (801) 344-4215
Fax: (801) 344-4225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 14241 S Redwood Rd Ste 200, Bluffdale, UT 84065-5216 — (385) 342-2808
  • 14241 S Redwood Rd Ste 300, Bluffdale, UT 84065-5223 — (801) 915-6007
  • 12595 S Minuteman Dr, Draper, UT 84020-9541 — (801) 572-6989
  • 327 W Gordon Ave Ste 2, Layton, UT 84041-2381 — (385) 342-2808

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 5336032-1205 (UT)
Psychiatry Physician Taxonomy 2084P0800X · Licence 5336032-1205 (UT)

Record details

NPI number1740250372
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 25, 2006
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026
Mailing address1300 E Center St, Provo, UT 84606-3554

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