MICHELLE B MIRSKY (PSYD) – Clinical Psychologist, NPI 1396168464

MICHELLE B MIRSKY (PSYD) is a healthcare provider. based in Hartford, Connecticut. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 003414 (CT). The NPI Number for MICHELLE B MIRSKY (PSYD) is 1396168464

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE B MIRSKY (PSYD)
NPI
1396168464
Phone
(860) 545-7940
Address
200 RETREAT AVE
Enumeration Date
27 January 2014
Last Update Date
17 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7572062772
Graduation Year
2013 (13 years ago)
PAC ID
7810215985
Group Practice PAC ID
2062581481
Professional Enrollment ID
I20230803002094
Address ID
VA233200218CH1545XBLVD301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

586 CLINICAL PSYCHOLOGIST in CT

Provider Addresses for MICHELLE B MIRSKY (PSYD)

  • 200 RETREAT AVE

    HARTFORD HOSPITAL PSYCHIATRY DEPT

    HARTFORD, CT 061063309

    Phone: (860) 545-7940

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150422000063IClinical PsychologistCTTBD
I20230803002094IClinical PsychologistVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96137Administration of psychological or neuropsychological test, each additional 30 minutes6020$0
90791Psychiatric diagnostic evaluation2424$0
96130Evaluation of psychological test, first hour2323$0
96136Administration of psychological or neuropsychological test, first 30 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 06106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062581481View full group profile
NameSpecialtyState
Clinical PsychologistMI
Clinical PsychologistVA
Clinical PsychologistCA
Clinical PsychologistOH
Clinical Social WorkerOH
Mental Health CounselorSC
Clinical PsychologistGA
Clinical PsychologistNC
Clinical PsychologistOH
Clinical PsychologistPA

Reviews

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Frequently asked questions

Can I verify MICHELLE B MIRSKY (PSYD) with an NPI only?
You can start verification with NPI 1396168464 for MICHELLE B MIRSKY (PSYD), then check state licensing separately.
Is MICHELLE B MIRSKY (PSYD) still practicing?
MICHELLE B MIRSKY (PSYD) is currently listed as active in the public NPI registry.
What taxonomy line describes MICHELLE B MIRSKY (PSYD)?
For research purposes, treat MICHELLE B MIRSKY (PSYD) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MICHELLE B MIRSKY (PSYD) on a map?
Expect Hartford, Connecticut as a primary anchor for MICHELLE B MIRSKY (PSYD) unless the record lists multiple sites.
Why does MICHELLE B MIRSKY (PSYD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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