Jeremy Michael Mikolai, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1784 Issued in OR

Practice address

154 Hempstead St FL 1
New London, CT 06320-5638

Phone

(860) 650-1030

Fax

(855) 869-4891

NPI assigned

Oct 19, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeremy.mikolai.1@32019.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeremy Mikolai ND Inc

  • Primary Care Clinic/Center
  • Portland, OR
  • NPI 1033674841
  NPD Authorized official

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1811207277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 ADAMS ST # 350",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 HEMPSTEAD ST FL 1",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205638",
            "telephone_number": "860-650-1030",
            "fax_number": "855-869-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKOLAI",
        "first_name": "JEREMY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-19",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "MN",
            "license": "1149",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "CT",
            "license": "752",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Gauthier Miceli, PH.D.
• John Alexander Michalak Jr., APRN
• Laura Michalek, MSN, RN
• Thomas Miett, M.D.
• Kara Mignosa, PA-C
• Maureen Miller-Lemek, MA,CCC-A
• Caitlin Miller, PA-C
• Debra R Miller, M.D.
• Irene B. Miller, APRN
• Jaime Marie Miller, MSW

• Naturopath in New London, CT
• Providers in New London, CT by specialty
• Naturopath in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.