Mira Shore, PSYD.
NPI 1750079067 · Psychologist · Philadelphia, PA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mira Shore, PSYD. is a Psychologist provider in Philadelphia, PA (NPI 1750079067).
Provider details
- NPI number
- 1750079067
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 921 Chester PikeSharon Hill, PA 19079-1411Phone: (610) 583-3500
Registry dates
- Enumerated
- 2023-04-25
- Last updated
- 2026-02-12
- Certified
- 2026-02-12
Frequently asked questions
- What is Mira Shore's NPI number?
- Mira Shore's National Provider Identifier (NPI) is 1750079067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mira Shore's specialty?
- Mira Shore is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Mira Shore located?
- Mira Shore's practice location on file with NPPES is 850 N 11th St, Philadelphia, PA 19123-1957.
- What is Mira Shore's phone number?
- The practice phone number listed in the NPPES registry for Mira Shore is (267) 597-3604.
- Does Mira Shore accept Medicare?
- Mira Shore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mira Shore's NPI active?
- Yes — Mira Shore's NPI (1750079067) is active in the NPPES registry as of the last update on 2026-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.