DR. MIKA NITTA PSY.D.
NPI 1629123062
Psychologist - Clinical in Worcester, MA

Active since January 24, 2007Opted out of Medicare · through Jun 30, 2028
72 JAQUES AVENUE, WORCESTER, MA 01610(508) 373-7964 Get Directions Write a Review

NPPES record last updated: October 5, 2015. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Mika Nitta Psy.d. NPPES

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

DR. MIKA NITTA PSY.D. (NPI 1629123062) is an individual clinical provider in Worcester, Massachusetts, licensed in Massachusetts (10150) and active in the NPI registry since January 2007. She has opted out of Medicare through June 30, 2028.

NPPES Registry Identity

NPI1629123062
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MIKA NITTACredential: PSY.D.
Location Address72 JAQUES AVENUEWorcester, MA 01610-2480
Mailing Address10 Langley RdNewton Center, MA 02459-1972
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateOctober 5, 2015
✔ NPI 1629123062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MA · 10150
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
72 JAQUES AVENUE, Worcester, MA 01610

Accepted Insurance

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. Mika Nitta Psy.d. 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 June 30, 2026 through June 30, 2028.

Opt-Out Effective DateJune 30, 2026
Opt-Out In Effect ThroughJune 30, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Nurse Specialist
72 JAQUES AVENUE
WORCESTER, MA 01610
Counselor (Addiction (Substance Use Disorder))
72 JAQUES AVENUE
WORCESTER, MA 01610

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 Mika Nitta's NPI number?

The NPI number for Mika Nitta is 1629123062. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Mika Nitta located?

Mika Nitta practices at 72 Jaques Avenue, Worcester, MA 01610. The listed phone number is (508) 373-7964.

What is Mika Nitta's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mika Nitta enrolled in Medicare?

No. Mika Nitta has opted out of Medicare through June 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Mika Nitta accept?

Health plans from Harvard Pilgrim Health Care list Mika Nitta 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 Mika Nitta was last updated on October 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.