DR. MIRA MOOREVILLE NURKO PSYD
NPI 1356824288
Psychologist in Boston, MA

Active since September 06, 2018Opted out of Medicare · through Apr 2, 2027
71 ROCKVIEW ST, BOSTON, MA 02130(610) 304-9072 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 3, 2019, Sep 6, 2018 (2 updates tracked since 2018).

About Dr. Mira Mooreville Nurko Psyd NPPES

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

DR. MIRA MOOREVILLE NURKO PSYD (NPI 1356824288) is an individual psychologist in Boston, Massachusetts, licensed in Massachusetts (11212) and active in the NPI registry since September 2018. She has opted out of Medicare through April 2, 2027.

NPPES Registry Identity

NPI1356824288
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MIRA MOOREVILLE NURKOCredential: PSYD
Location Address71 ROCKVIEW STBoston, MA 02130-2147
Mailing Address71 Rockview StBoston, MA 02130-2147 · (610) 304-9072
Sole ProprietorNo
Enumeration DateSeptember 6, 2018
Last NPPES UpdateDecember 3, 20192 updates tracked since enumeration
NPI 1356824288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · 11212
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.

71 ROCKVIEW ST, Boston, MA 02130

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Mira Mooreville Nurko Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 2, 2025 through April 2, 2027.

Opt-Out Effective DateApril 2, 2025
Opt-Out In Effect ThroughApril 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Mira Nurko's NPI number?

The NPI number for Mira Nurko is 1356824288. It was assigned to this individual provider in the NPPES registry on September 6, 2018.

Where is Mira Nurko located?

Mira Nurko practices at 71 Rockview St, Boston, MA 02130. The listed phone number is (610) 304-9072.

What is Mira Nurko's specialty?

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

Is Mira Nurko enrolled in Medicare?

No. Mira Nurko has opted out of Medicare through April 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mira Nurko was last updated on December 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.