Mira B. Shore, PSYD.
Psychologist · Philadelphia, PA
Mira B. Shore, PSYD. is a psychologist with a practice address in Philadelphia, Pennsylvania, and NPI 1750079067, issued on Apr 25, 2023. Check the license with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mira B. Shore
- Credential
- PSYD.
- Primary taxonomy
- Psychologist 103T00000X
- Practice location
- 850 N 11TH St, Philadelphia, PA 19123
- Phone
- (267) 597-3604
- Enumerated
- Apr 25, 2023
- Record last updated
- Feb 12, 2026
- Medicare enrollment
- Enrolled (PECOS I20241003001289); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest psychologist records → All 2,687 in Pennsylvania → Look up another NPI →
Also registered at 850 N 11TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Laura Baehr, DPTPhysical Therapist1063045110
- Constance Ballem Leach, CRNPFamily Nurse Practitioner1548280381
- Elizabeth Blunt, C.R.N.P.Nurse Practitioner1043259401
- Noel Bruno, PH.D.Clinical Child & Adolescent Psychologist1558331785
- Mary Carol Campbell, MSWClinical Social Worker1902076920
- Stacey Carpenter, PSY.D.Clinical Child & Adolescent Psychologist1578813366
Verify Mira B. Shore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Pennsylvania board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Moore Psychological Services LLCMedia, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mira B. Shore among 2,687 psychologist records in Pennsylvania
Mira B. Shore, PSYD. is one of 2,687 psychologist records with a practice address in Pennsylvania. 13% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 93% of them.
- NPI issued2023 · 93% of these records are older, 5% newer
- In a Medicare fileYes · 13% of these records are
- In the CMS Doctors and Clinicians fileYes · 22% of these records are
- Graduated2021 · median 2004 among the 585 with a school on file
- Record last updated2026 · 70% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Psychologist providers in Pennsylvania
There are 2,687 psychologist records in Pennsylvania.
All 2,687 in Pennsylvania → Every provider in Philadelphia → Psychologist nationwide →
The 8 psychologist records with the nearest ZIP codes
- Diane Findley, PHDPhiladelphia, PA 191231932154002
- Theresa McMahonPhiladelphia, PA 191231871220012
- Jared Von Arx, PSYCHOLOGISTPhiladelphia, PA 191231922201334
- Frederick Bader, PSY.D.Philadelphia, PA 191221770933392
- Mitra Gilbert, PSY.D,, MSPhiladelphia, PA 191221326398496
- Jilda Green, PH DPhiladelphia, PA 191241740473792
- Angenique HowardPhiladelphia, PA 191241487115036
- Susan Hyman, PHD.Philadelphia, PA 191241316974991
Common questions
What is Mira B. Shore, PSYD.'s NPI number?
Mira B. Shore, PSYD.'s National Provider Identifier (NPI) is 1750079067, issued on Apr 25, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Mira B. Shore, PSYD. located?
The NPPES record lists a practice address at 850 N 11TH St, Philadelphia, PA, 19123. Phone: (267) 597-3604. Providers update this record themselves, so call before visiting.
How can I verify Mira B. Shore, PSYD.'s license?
Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.