Organization Active NPI

Myora Integrated Health and Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hyde Park, MA
National Provider Identifier
1902750284
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Jun 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monique Balfour, NPNPI 1992242309
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20260625002401 MA Part B Supplier - Clinic/Group Practice 0648743195 Receives reassigned benefits from 1 practitioner
Practice locations: Hyde Park, MA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.