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

Dr. Mira B Shore, PSYD

Individual provider Counselor · NPI 1750079067

Dr. Mira B Shore, PSYD is a Clinical Psychologist in Philadelphia, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Moore Psychological Services LLC, an 11-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
In the registry since
2023
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

850 N 11th St
Philadelphia, PA 19123-1957
Phone: (267) 597-3604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 921 Chester Pike, Sharon Hill, PA 19079-1411 — (610) 583-3500

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1750079067
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedApril 25, 2023
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Moore Psychological Services Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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