Mountain Lake Academy

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

MOUNTAIN LAKE ACADEMY

Practice address

386 River Road
Lake Placid, NY 12946

Phone

(518) 523-4300

Fax

(518) 523-5322

NPI assigned

May 7, 2008

Last updated

Feb 6, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

WINDWOOD MEADOW, INC.As reported in NPPES

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

Authorized official

Name

Christopher Mariano

Title

Ceo

Phone

(518) 523-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mountain Lake Children's Residence, Inc. Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1255507497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 RIVER ROAD",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "12946",
            "telephone_number": "518-523-4300",
            "fax_number": "518-523-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 RIVER ROAD",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "12946",
            "telephone_number": "518-523-4300",
            "fax_number": "518-523-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN LAKE ACADEMY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINDWOOD MEADOW, INC.",
        "enumeration_date": "2008-05-07",
        "last_updated": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "MARIANO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-523-4300"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01949242",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Lake Children's Residence, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dana Kaitlyn Megin, DPT
• Peter Andrew Meister
• Karen L Merrihew-Knox, RPT
• David W. Miller, PSY. D.
• Kit Morgan, LCSW
• Mountain Medical Primary Care, PLLC
• Alisha Mullarney, MS, CCC-SLP
• Elizabeth E Nadler, ATC, CSCS
• Gilbert Evan Patenaude, D.C.
• Performance Orthopedic Design, LLC (Mountain Orthotic and Prosthetic Services)

• Emotionally Disturbed Childrens' Residential Treatment Facility in Lake Placid, NY
• Providers in Lake Placid, NY by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.