Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Banwart, PSYD

Individual provider Clinical Psychologist · NPI 1104493162

Michael Banwart, PSYD is a Clinical Psychologist in Aurora, Colorado. Qualified in 2023, 3 years ago. Practices with Aurora Comprehensive Community Mental Health Center, a 100-clinician group. Licensed in Colorado.

Years since qualifying
3
Licensed in
CO
In the registry since
2021
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1504 Galena St
Aurora, CO 80010-2219
Phone: (303) 617-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY.0006562 (CO)

Record details

NPI number1104493162
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJune 8, 2021
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address1290 Chambers Rd, Aurora, CO 80011-7117

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Aurora Comprehensive Community Mental Health Center — 100 clinicians
Accepts Medicare assignment Not indicated

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