Patricia B Mickunas, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35.080489 Issued in OH

Practice address

310 W Union St Ste 102
Athens, OH 45701-2312

Phone

(740) 331-6918

Fax

(740) 571-4280

NPI assigned

Jun 10, 2008

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Wright State University Boonshoft School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patricia.mickunas@mmhs.medicity.net
• FHIR API: https://api.qualifacts.org/api/fhir/spvmhc/r4/

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.

• Marietta Memorial Hospital

  • Rural Health Clinic/Center
  • Woodsfield, OH
  • NPI 1962106328
  Medicare reassignment Care Compare group NPD
• Selby General Hospital

  • Critical Access Hospital
  • Marietta, OH
  • NPI 1124073465
  Medicare reassignment
• Marietta Memorial Hospital

  • General Acute Care Hospital
  • Marietta, OH
  • NPI 1215936927
  NPD
• L & P Services, Inc.

  • Public Health or Welfare Agency
  • Marietta, OH
  • NPI 1942289301

  Psychiatry

  NPD (past)
• Scioto Paint Valley Mental Health Center

  • Multi-Specialty Clinic/Center
  • Chillicothe, OH
  • NPI 1255308136
  NPD (past)
• Scioto Paint Valley Mental Health Center

  • Primary Care Clinic/Center
  • Chillicothe, OH
  • NPI 1790116747
  NPD (past)
• State of Ohio Department of Mental Health

  • Case Management Agency
  • Marietta, OH
  • NPI 1396714473
  NPD (past)
• State of Ohio Office of Budget and Management State Accounting

  • Nursing Facility/Intermediate Care Facility
  • Sandusky, OH
  • NPI 1790732576
  NPD (past)
• Pfeifer Counseling, Consulting and Training LLC

  • Professional Counselor
  • Williamstown, WV
  • NPI 1841657749
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marietta Memorial Hospital

  • General Acute Care Hospital
  • Marietta, OH
  • NPI 1215936927
  Care Compare affiliation

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1992965370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 EDGEWOOD LN",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457018777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W UNION ST STE 102",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012312",
            "telephone_number": "740-331-6918",
            "fax_number": "740-571-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKUNAS",
        "first_name": "PATRICIA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.080489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradford Thomas Meyers, PSY.D.
• Chelsey Meyers
• Christopher Michael, QMHS
• Linda Michael
• Logan Michael, OD
• Mid-State Physicians LLP
• Michael Migitz
• Sarah Caitlin Miko, ATC
• Madeleine Rosalee Miller-Schaef
• Aaliyah Miller

• Psychiatry Physician in Athens, OH
• Providers in Athens, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.