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Mark D Miceli, M.D.

Psychiatry Physician in Coon Rapids, MN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184658858

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Registry record

Entity type Individual (Type 1)
Name Mark D Miceli
Credential M.D.
Sex Male
Practice address 4050 Coon Rapids Blvd Nw, Coon Rapids, MN, 55433
Phone (612) 262-1220
Enumeration date Jul 10, 2006
Last updated in NPPES Oct 14, 2019

Taxonomy & licenses

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 2017034370 (MO) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 25MA07643400 (NJ) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 308-320 (WI) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 64833 (MN) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mark Miceli?
The National Provider Identifier (NPI) for Mark Miceli is 1184658858, a Type 1 (individual) record in the CMS NPPES registry.
Where does Mark Miceli practice?
The practice location on file with NPPES is in Coon Rapids, MN. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-10-14.