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

Michael R. Mizenko, DO

Individual provider Psychiatry Physician · NPI 1063536712

Michael R. Mizenko, DO is a Psychiatry Physician in Denver, Colorado. Practices as a sole proprietor. Licensed in Colorado and Ohio.

Licensed in
CO, OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

777 Bannock St
Denver, CO 80204-4507
Phone: (614) 738-6442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence DR.0054317 (CO)
Psychiatry Physician Taxonomy 2084P0800X · Licence 34-004168 (OH)

Record details

NPI number1063536712
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 19, 2007
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021

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