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MICHAEL BANWART PSYD
NPI 1104493162
Psychologist - Clinical in Aurora, CO

Active since June 08, 2021PECOS Enrolled
1504 GALENA ST, AURORA, CO 80010(303) 617-2300 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2022, Jun 8, 2021 (2 updates tracked since 2021).

About Michael Banwart Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL BANWART PSYD (NPI 1104493162) is an individual clinical provider in Aurora, Colorado, licensed in Colorado (PSY.0006562) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104493162
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMICHAEL BANWARTCredential: PSYD
Location Address1504 GALENA STAurora, CO 80010-2219
Mailing Address1290 Chambers RdAurora, CO 80011-7117 · (303) 617-2300
Phone(303) 617-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 8, 2021
Last NPPES UpdateOctober 17, 20242 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
✔ NPI 1104493162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CO · PSY.0006562
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1504 GALENA ST, Aurora, CO 80010
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Banwart Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628501426
PECOS Enrollment IDI20241101000121
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE SANDOVAL
Case Manager/Care Coordinator
1504 GALENA ST
AURORA, CO 80010
Arapahoe County (303) 617-2300
KEVIN BESS MA, LMFT
Marriage & Family Therapist
1504 GALENA ST
AURORA, CO 80010
Arapahoe County (303) 617-2300
WILLIE MAE STEELE
Case Manager/Care Coordinator
1504 GALENA ST
AURORA, CO 80010
Arapahoe County (303) 617-2498
JEAN VAN DE POLDER M.D.
Psychiatry & Neurology (Psychiatry)
1504 GALENA ST
AURORA, CO 80010
Arapahoe County (303) 617-2498
PETER REYES
Peer Specialist
1504 GALENA ST
AURORA, CO 80010
Arapahoe County (303) 617-2498
RACHEL LYNN CAMAROTE LPC
Counselor (Professional)
1504 GALENA ST
AURORA, CO 80010
Arapahoe County (303) 617-2300
ANDREW SEDILLO MD
Psychiatry & Neurology (Psychiatry)
1504 GALENA ST
AURORA, CO 80010
Arapahoe County (303) 617-2300
PRISCILLA RAMONA ROCHA MA, LMFT
Marriage & Family Therapist
1504 GALENA ST
AURORA, CO 80010
Arapahoe County (303) 617-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Banwart's NPI number?

The NPI number for Michael Banwart is 1104493162. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Where is Michael Banwart located?

Michael Banwart practices at 1504 Galena St, Aurora, CO 80010. The listed phone number is (303) 617-2300.

What is Michael Banwart's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michael Banwart enrolled in Medicare?

Yes. Michael Banwart is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Banwart was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.