SUSANNA CICCOLARI MICALDI


Address: 1001 N. Minneapolis St, Wichita, KS 67214-3127
Phone: 3162932647

SUSANNA CICCOLARI MICALDI (NPI# 1790190791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790190791
Entity Type Individual
Full Name SUSANNA CICCOLARI MICALDI
Credential MD
Practice Address 1001 N. Minneapolis St
Wichita
KS 67214-3127
Mailing Address 1001 N Minneapolis St
Wichita
KS 67214-3127
Practice Telephone 3162932647
Practice Fax Number 8554760305
Mailing Telephone 3162932647
Mailing Fax Number 8554760305
Enumeration Date 2014-06-27
Last Update Date 2019-11-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
94-08402 KS Allopathic & Osteopathic Physicians
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
94-08402 KS Allopathic & Osteopathic Physicians

Office Location

Street Address 1001 N. MINNEAPOLIS ST
City WICHITA
State KS
Zip Code 67214-3127

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NPI Name Taxonomy Address Enumeration
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1952850653 Rachel J Johnson Counselor 805 N Volutsia, Wichita, KS 67214 2016-09-23
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659633709 Larry David Mitnaul Jr. Psychiatry & Neurology 1515 S Clifton Ave Ste 300, Wichita, KS 67218-2953 2012-06-14
1235344433 Mathias James Lillig Psychiatry & Neurology 1001 N Minneapolis St, Wichita, KS 67214-3127 2007-05-11
1265416499 Kimberly J Pankow Psychiatry & Neurology 5500 E Kellogg Dr, Bh, Wichita, KS 67218-1607 2005-12-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760652531 Robert Seth Gordon Psychiatry & Neurology 611 S Kansas Ave Ste 101, Topeka, KS 66603 2008-03-07
1902945934 Mwendalubi Yasa Psychiatry & Neurology 1901 East First Street, Prairie View, Newton, KS 67114-0467 2007-02-06
1871639799 Kansas University Physicians Inc Psychiatry & Neurology 1088 Delp Pavilion, Mail Stop 4015 3901 Rainbow Blvd, Kansas City, KS 66160 2007-01-29
1306996434 Poonam Khanna Psychiatry & Neurology 14221 Metcalf Ave, Suite 123, Overland Park, KS 66223-3344 2007-01-11
1225067655 M David Brown Psychiatry & Neurology 8300 College Blvd Ste 320, Overland Park, KS 66210-2814 2006-06-30
1629510417 Wexler Family Psychiatry Psychiatry & Neurology 4203 Booth St, Kansas City, KS 66103-3116 2016-11-09
1548680507 Caitlin Mellencamp Winder Psychiatry & Neurology 8000 W 127th St, Overland Park, KS 66213-2714 2014-04-17
1821346495 Stacey Allison Laird Psychiatry & Neurology 4121 W 83rd St, Suite 204, Prairie Village, KS 66208-5472 2012-08-29
1851646285 Anthony Anunwa Md Pa Psychiatry & Neurology 1600 N Lorraine St, Hutchinson, KS 67501-5670 2012-07-23
1164784963 Daniel J Tseng Psychiatry & Neurology 650 Huebner Rd, Fort Riley, KS 66442 2012-06-08
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Competitor

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City WICHITA
Zip Code 67214

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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