Melody N Mickens (NPI# 1942759626, PAC ID# 5496187189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1942759626 |
| PAC ID by PECOS | 5496187189 |
| Professional Enrollment ID | I20191119000540 |
| Full Name | Melody N Mickens |
| Organization Legal Name | UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES |
| Address |
30 N 1900 Suite 1b620 Salt Lake City UT 84132-0002 |
| Phone Number | 8012133900 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 9537483607 |
| Number of Group Practice Members | 124 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 30 N 1900, Suite 1b620, Salt Lake City, UT 84132-0002 | 8012133900 | UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES |
| Organization Legal Name | UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES |
| Physicians | 141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corinne Ivy Grant | Clinical Social Worker | University of Utah Behavioral Health Services | 291 S 200, Farmington, UT 84025-2419 |
| Jamie Lea Hales | Clinical Social Worker | University of Utah Behavioral Health Services | 525 E 100, Suite 500, Salt Lake City, UT 84102-1956 |
| Larissa Mcgarrity | Psychologist, Clinical | University of Utah Behavioral Health Services | 30 N 1900, Suite 1b620, Salt Lake City, UT 84132-0002 |
| Sara Callister | Nurse Practitioner | University of Utah Behavioral Health Services | 650 S Komas Dr, Suite 200, Salt Lake City, UT 84108-1241 |
| Christina M Derbidge | Psychologist, Clinical | University of Utah Behavioral Health Services | 546 S Chipeta Way, Salt Lake City, UT 84108-1221 |
| Paul D Thielking | Hospice/palliative Care | University of Utah Behavioral Health Services | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 |
| Wilbur Rigel Dattilo | Psychiatry | University of Utah Behavioral Health Services | 50 N Medical Dr, Salt Lake City, UT 84132-0100 |
| Benjamin R Lewis | Psychiatry | University of Utah Behavioral Health Services | 50 N Medical Dr, Salt Lake City, UT 84132-0100 |
| Marilyn Schneider | Occupational Therapy | University of Utah Behavioral Health Services | 50 N Medical Dr, Salt Lake City, UT 84132-0100 |
| Roxanne L Bartel | Psychiatry | University of Utah Behavioral Health Services | 50 N Medical Dr, Salt Lake City, UT 84132-0100 |
| Street Address |
30 N 1900 SUITE 1B620 |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84132-0002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larissa Mcgarrity | Psychologist, Clinical | University of Utah Behavioral Health Services | 30 N 1900, Suite 1b620, Salt Lake City, UT 84132-0002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Breynn Collazo | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Quinton Allred | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Leslie Halpern | Oral Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | |
| Molly Doose | Internal Medicine | University of Utah Pediatric Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Matthew James Plumb | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Lucas Anderson | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Richard S Lemons | Pediatric Medicine | University of Utah Pediatric Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Rebeka Lyn Coleman | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Heather M George | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Rebecca R Desso | Anesthesiology | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Find all physicians in zip 84132 | |||
| City | SALT LAKE CITY |
| Zip Code | 84132 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | SALT LAKE CITY + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Melody N Mickens.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.