BORIS MIROCHNIK
NPI 1639254337
Psychologist in Staten Island, NY

Active since October 25, 2006
48 BLUEBERRY LANE, STATEN ISLAND, NY 10312(718) 967-1585(718) 967-1585 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Boris Mirochnik NPPES

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

BORIS MIROCHNIK (NPI 1639254337) is an individual psychologist in Staten Island, New York, licensed in New York (R065562) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1639254337
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameBORIS MIROCHNIK
Location Address48 BLUEBERRY LANEStaten Island, NY 10312
Mailing Address48 Blueberry LaneStaten Island, NY 10312 · (718) 967-1585 · Fax (718) 967-1585
Fax(718) 967-1585
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateDecember 27, 2007
NPI 1639254337 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 NY · R065562
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.
48 BLUEBERRY LANE, Staten Island, NY 10312

Other Identifiers 2

Medicaid02335308NY
Medicare PINN6R491NY

Other Providers at the Same Location NPPES

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

Psychologist (Group Psychotherapy)
48 BLUEBERRY LANE
STATEN ISLAND, NY 10312

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 Boris Mirochnik's NPI number?

The NPI number for Boris Mirochnik is 1639254337. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Boris Mirochnik located?

Boris Mirochnik practices at 48 Blueberry Lane, Staten Island, NY 10312. The listed phone number is (718) 967-1585.

What is Boris Mirochnik's specialty?

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

When was this NPI record last updated?

The NPPES record for Boris Mirochnik was last updated on December 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.