Active NPI
Myora Integrated Health and Psychiatry PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Hyde Park, MA
National Provider Identifier
1902750284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MYORA INTEGRATED HEALTH AND PSYCHIATRY PLLC
- Practice address
- 11 Fairmount Ave
Suite 109
Hyde Park, MA 02136-2775 - Phone
- (617) 300-7176
- NPI assigned
- Feb 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monique Balfour, NP
- Title
- Owner
- Phone
- (617) 300-7176
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
11 Fairmount Ave
Suite 109
Hyde Park, MA 02136-2775
Mailing address
11 Fairmount Ave Ste 109
Hyde Park, MA 02136-2777
Phone (617) 300-7176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11 Fairmount Ave
Ste 109
Hyde Park, MA 02136
Phone (857) 345-9025
11 Fairmount Ave
Ste 9
Hyde Park, MA 02136
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781481600000",
"number": "1902750284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 FAIRMOUNT AVE STE 109",
"city": "HYDE PARK",
"state": "MA",
"postal_code": "021362777",
"telephone_number": "617-300-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 FAIRMOUNT AVE",
"address_2": "SUITE 109",
"city": "HYDE PARK",
"state": "MA",
"postal_code": "021362775",
"telephone_number": "617-300-7176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYORA INTEGRATED HEALTH AND PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-24",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A",
"authorized_official_last_name": "BALFOUR",
"authorized_official_first_name": "MONIQUE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-300-7176",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyde Park, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.