Kristen J Mizumoto
NP | Nurse Practitioner - Psych/Mental Health
5930 Heisley Rd, Neighboring, Mentor
Ohio, 44060-1834
440-639-3509
Kristen J Mizumoto is a Mentor, Ohio based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Kristen J Mizumoto is COA13309 for Psych/Mental Health in Ohio. Her current practice location is 5930 Heisley Rd, Neighboring, Mentor. Patients can reach her at 440-639-3509 or can fax her at 440-352-2040. Kristen J Mizumoto is NP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1225388689.
Kristen J Mizumoto provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Kristen J Mizumoto speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kristen J Mizumoto |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | NP |
| Practice Address: | 5930 Heisley Rd, Neighboring, Mentor,
Ohio, 44060-1834 |
| Phone: | 440-639-3509 |
| Fax: | 440-352-2040 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1225388689 |
| NPI Enumeration Date: | 13 Sep, 2012 |
| NPI Last Update On: | 31 Jan, 2014 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kristen J Mizumoto are as mentioned below.
| License Number | Specialization | State | Status | |
| COA13309 | Psych/Mental Health | Ohio | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kristen J Mizumoto such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2362429 | Medicaid | Ohio | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kristen J Mizumoto
5930 Heisley Rd, Neighboring
Mentor, Ohio |
| Zip: | 44060-1834 |
| Phone Number: | 440-639-3509 |
| Fax Number: | 440-352-2040 |
Patients can reach Kristen J Mizumoto at
5930 Heisley Rd, Neighboring, Mentor, Ohio or can
call to book an appointment on 440-639-3509.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.