Mark D Miceli, MD
Mark D Miceli, MD is a Psychiatry in Coon Rapids, Minnesota. Graduated from Temple University School of Medicine in 2000, 26 years ago. Practices with Allina Health System, a 3,867-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota, Missouri, New Jersey and Wisconsin.
- Years since qualifying
- 26
- Trained at
- Temple University School of Medicine
- Licensed in
- MN, MO, NJ, WI
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
4050 Coon Rapids Blvd NWCoon Rapids, MN 55433-2522
Phone: (612) 262-1220
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 64833 (MN) |
|---|---|
| Psychiatry Physician | Taxonomy 2084P0800X · Licence 2017034370 (MO) |
| Psychiatry Physician | Taxonomy 2084P0800X · Licence 25MA07643400 (NJ) |
| Psychiatry Physician | Taxonomy 2084P0800X · Licence 308-320 (WI) |
Record details
| NPI number | 1184658858 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 10, 2006 |
| Last updated in NPPES | October 14, 2019 |
| Mailing address | 114 W 7th St Ste 900, Austin, TX 78701-3013 |
Medicare enrollment
| Medicare specialty | PSYCHIATRY |
|---|---|
| Medical school | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2000 (26 years in practice) |
| Group practice | Allina Health System — 3867 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 10 on file with Medicare |
Other providers in Coon Rapids
-
Karen Kenney Dickson, MD
1930 Coon Rapids Blvd NW, Coon Rapids, MN 55433-4708 · (763) 746-9583
-
Yoshiko Nakagawa Hapke, MD
1930 Coon Rapids Blvd Family Life Mental Health Ctr, Coon Rapids, MN 55433 · (763) 427-7964
-
Kelsey Sorensen LLC
9315 Evergreen Blvd NW, Coon Rapids, MN 55433 · (612) 444-2987
-
James Andrew McCoy, MD
1930 Coon Rapids Blvd Family Life Mental Health Ctr, Coon Rapids, MN 55433 · (763) 427-7964
-
Dr. Shilpa Mikkilineni, MD
9055 Springbrook Dr NW, Coon Rapids, MN 55433-5841 · (763) 780-9155
-
Dr. Kelly Ann Moreno, DO
9055 Springbrook Dr NW, Coon Rapids, MN 55433-5841 · (763) 780-9155
-
James E Roth, MD
9055 Springbrook Dr NW, Coon Rapids, MN 55433-5841 · (763) 780-9155