Active NPI
James Cochran
- Psychologist
- Johnstown, PA
National Provider Identifier
1376600320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS002187L
- Practice address
- 1405 Eisenhower Blvd Ste 106
Johnstown, PA 15904-3200 - Phone
- (814) 266-5238
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS002187L | PA | Primary |
Addresses
Primary practice location
1405 Eisenhower Blvd Ste 106
Johnstown, PA 15904-3200
Mailing address
165 State St
Johnstown, PA 15905-2825
Phone (814) 255-4904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001512470 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS002187L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376600320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 STATE ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159052825",
"telephone_number": "814-255-4904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 EISENHOWER BLVD STE 106",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159043200",
"telephone_number": "814-266-5238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS002187L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001512470",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.