Active NPIIndividual providerSole proprietor

Dr. Edwin Mikkelsen, MD

Psychiatry & Neurology, Psychiatry in Wellesley, Massachusetts

NPI Number1992756530
Practice location
67 Yarmouth RD, Wellesley, MA 02481-1248
Fax
781-237-5953
Last updated
July 8, 2007

Edwin Mikkelsen is a Psychiatry & Neurology, Psychiatry based in Wellesley, MA. Edwin Mikkelsen practices in Wellesley, MA and has the professional credentials of MD. The NPI Number for Edwin Mikkelsen is 1992756530 and holds a License No. 36837 (MA). The current practice location address for Edwin Mikkelsen is 67 Yarmouth RD, Wellesley, MA 02481-1248 and can be reached out via phone at 617-790-4248 and via fax at 781-237-5953.

Provider Profile Details

NPI Number
1992756530
Provider Name
Edwin Mikkelsen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
67 Yarmouth RD, Wellesley, MA 02481-1248
Phone Number
617-790-4248
Fax Number
781-237-5953
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
May 15, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
67 Yarmouth RD
Wellesley, MA 02481-1248
Zip
02481-1248
Phone Number
617-790-4248
Fax Number
781-237-5953
Wellesley, MA 02481Get directions →

Provider Business Mailing Address Details

Address
67 Yarmouth RD
Wellesley, MA 02481-1248
City
Wellesley
State
MA
Zip
02481-1248
Phone Number
617-790-4248
Fax Number
781-237-5953

License Information

License Number
36837
License State
MA
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Edwin Mikkelsen, MD?

The NPI number of Dr. Edwin Mikkelsen, MD is 1992756530. It was assigned on May 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Edwin Mikkelsen, MD?

Dr. Edwin Mikkelsen, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 36837.

Where does Dr. Edwin Mikkelsen, MD practice?

The practice location is 67 Yarmouth RD, Wellesley, MA 02481-1248. The office can be reached at 617-790-4248 (phone) or 781-237-5953 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992756530 directly on the NPPES registry website.

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