Diane Wilkins Mickley, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16643 Issued in CT

Practice address

7 Riversville Rd
Greenwich, CT 06831-3627

Phone

(203) 531-1909

Fax

(203) 531-7449

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164574778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RIVERSVILLE RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068313627",
            "telephone_number": "203-531-1909",
            "fax_number": "203-531-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RIVERSVILLE RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068313627",
            "telephone_number": "203-531-1909",
            "fax_number": "203-531-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKLEY",
        "first_name": "DIANE",
        "middle_name": "WILKINS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "16643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MH Integrative Therapy
• Michael J Franco, MD, LLC
• Andrew Michalak, M.D.
• Irena Michals, LCSW
• Michelle S Hernandez LLC
• Steven P Mickley, MD
• Angelo Milazzo, DDS
• Kaitlyn M. Milchman, PA-C
• Mill Hill Medical Consultants Inc
• Mill Hill Medical Consultants Inc

• Internal Medicine Physician in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.