Jeremy Mirsky, PHD
NPI 1245274885ActiveIndividual· Psychologist· Worcester, MA
Psychologist (PHD) with Mass General Brigham Medical Group Suburban Massachusetts Inc and 1 other group, practicing in Worcester, Massachusetts. Medicare paid $14,448 for services to 34 patients in 2024.
Overview
| NPI | 1245274885 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Jun 15, 2006 |
| Last updated in NPPES | Sep 26, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 9362 | MA |
| Psychologist | 103T00000X | 002580 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 34 |
|---|---|
| Services billed | 208 across 5 procedure codes |
| Paid by Medicare | $14,448 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical groups
- Mass General Brigham Medical Group Suburban Massachusetts IncPembroke, MA · 602 clinicians
- Mass General Brigham Community Physicians IncWatertown, MA · 428 clinicians
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