Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mirielle Therapy Practice, PLLC

Organization Clinical Psychologist · NPI 1316487978

Mirielle Therapy Practice, PLLC provides Clinical Psychologist services in New York, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

303 5th Ave Ste 1909
New York, NY 10016-6601
Phone: (212) 545-9901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 018801-1 (NY)

Record details

NPI number1316487978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alice Shepard — Director · (212) 545-9901
NPI enumeratedMarch 2, 2017
Last updated in NPPESMarch 2, 2017
Mailing address303 5th Ave, Suite 1909, New York, NY 10016-6601

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