DR. MIRIAM STOTSKY PHD
NPI 1154104172
Psychologist - Clinical Child & Adolescent in Boston, MA

Q: What is Miriam Stotsky's NPI number?

The NPI number for Miriam Stotsky is 1154104172. It was assigned to this individual provider in the NPPES registry on August 15, 2023. The provider is also known as Dr. Mimi Stotsky Phd.

Q: What is Miriam Stotsky's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Miriam Stotsky was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since August 15, 2023PECOS Enrolled

300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-1900 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 20, 2024, Sep 8, 2023, Aug 15, 2023 (3 updates tracked since 2023).

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About Dr. Miriam Stotsky Phd NPPES

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

DR. MIRIAM STOTSKY PHD (NPI 1154104172) is an individual clinical child & adolescent provider in Boston, Massachusetts, licensed in Massachusetts (PSY500523) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1154104172

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. MIRIAM STOTSKYCredential: PHD

Location Address300 LONGWOOD AVEBoston, MA 02115-5724

Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-1900

Phone(617) 355-1900

Sole ProprietorNo

Enumeration DateAugust 15, 2023

Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1154104172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in MA · PSY500523

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

300 LONGWOOD AVE, Boston, MA 02115

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Other Names 1

Other Name (5)Dr. Mimi Stotsky Phd

Secondary Practice Location 1

Location 1333 Longwood AveBoston, MA 02115-5711 · Phone (617) 355-1900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Miriam Stotsky Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Miriam Stotsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Hospital Pediatric Associates, Inc

Same address

Pediatrics

300 LONGWOOD AVE
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
1,358 clinicians in this Medicare group

NPI 1457306664 (617) 355-6000

Chmc Anesthesia Foundation Inc

Same address

Pediatric Anesthesiology

300 LONGWOOD AVE
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
101 clinicians in this Medicare group

NPI 1831268754 (617) 919-1340

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JULIE ANN HANSEN LCSW

Social Worker (Clinical)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (857) 218-4309

MS. ANNA ROGLIERI

Nurse Practitioner (Psychiatric/Mental Health)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

STEPHEN G. FLYNN M.D.

Anesthesiology (Pediatric Anesthesiology)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

MRS. LAUREN ASHLEY SHARIS P.T., D.P.T

Physical Therapist

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-7216

MS. SOYUN KWAN LICSW

Social Worker (Clinical)

300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115

Suffolk County (617) 355-0567

PUJA BANKA M.D.

Pediatrics

300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115

Suffolk County (617) 355-6363

MR. COURTNEY SULLIVAN FRATTO CPNP

Nurse Practitioner (Pediatrics)

300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115

Suffolk County (857) 218-4085

DR. ELIZABETH S TAGLAUER M.D., PH.D.

Pediatrics (Neonatal-Perinatal Medicine)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

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 Miriam Stotsky's NPI number?

The NPI number for Miriam Stotsky is 1154104172. It was assigned to this individual provider in the NPPES registry on August 15, 2023. The provider is also known as Dr. Mimi Stotsky Phd.

Where is Miriam Stotsky located?

Miriam Stotsky practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-1900.

What is Miriam Stotsky's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Miriam Stotsky enrolled in Medicare?

Yes. Miriam Stotsky is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Miriam Stotsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Stotsky reassigns Medicare benefits to 2 organizations: Children's Hospital Pediatric Associates, Inc (Boston, MA) and Chmc Anesthesia Foundation Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miriam Stotsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miriam Stotsky accept?

Health plans from Harvard Pilgrim Health Care and Taro Health list Miriam Stotsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miriam Stotsky was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.