DR. JEREMY MIRSKY PHD
NPI 1245274885
Psychologist in Worcester, MA

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
5 NEPONSET ST, WORCESTER, MA 01606(508) 856-0732(508) 425-5126 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jeremy Mirsky Phd NPPES

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

DR. JEREMY MIRSKY PHD (NPI 1245274885) is an individual psychologist in Worcester, Massachusetts, licensed in Massachusetts (9362) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1245274885
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JEREMY MIRSKYCredential: PHD
Location Address5 NEPONSET STWorcester, MA 01606-2714
Mailing Address5 Neponset St Fl Street12Worcester, MA 01606-2714 · (508) 856-0732 · Fax (508) 425-5126
Fax(508) 425-5126
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 15, 2006
Last NPPES UpdateSeptember 26, 2018
✔ NPI 1245274885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in MA · 9362✔ Licensed in CT · 002580
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
5 NEPONSET ST, Worcester, MA 01606

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeremy Mirsky Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618938929
PECOS Enrollment IDI20110921000718
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

2

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

Family Medicine
2014 WASHINGTON STREET
Newton, MA 02462
  • Reassigned Medicare billing, Massachusetts enrollment
  • 992 clinicians in this Medicare group
Internal Medicine
47 MIDDLESEX TPKE
Burlington, MA 01803
  • Reassigned Medicare billing, Massachusetts enrollment
  • 350 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
177 services31 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
23 services23 patients

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.

Internal Medicine (Rheumatology)
5 NEPONSET ST
WORCESTER, MA 01606
Internal Medicine (Rheumatology)
5 NEPONSET ST
WORCESTER, MA 01606
Family Medicine
5 NEPONSET ST
WORCESTER, MA 01606
Nurse Practitioner (Family)
5 NEPONSET ST
WORCESTER, MA 01606
Optometrist
5 NEPONSET ST
WORCESTER, MA 01606
Physician Assistant
5 NEPONSET ST
WORCESTER, MA 01606
Nutritionist
5 NEPONSET ST
WORCESTER, MA 01606
Psychologist
5 NEPONSET ST
WORCESTER, MA 01606

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 Jeremy Mirsky's NPI number?

The NPI number for Jeremy Mirsky is 1245274885. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Jeremy Mirsky located?

Jeremy Mirsky practices at 5 Neponset St, Worcester, MA 01606. The listed phone number is (508) 856-0732.

What is Jeremy Mirsky's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jeremy Mirsky enrolled in Medicare?

Yes. Jeremy Mirsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jeremy Mirsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Mirsky reassigns Medicare benefits to 2 organizations: Mass General Brigham Medical Group Suburban Massachusetts Inc (Newton, MA) and Mass General Brigham Community Physicians Inc. (Burlington, 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 Jeremy Mirsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Mirsky accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Jeremy Mirsky 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 Jeremy Mirsky was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.