Miriam J. Corcoran, PH.D., Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

478 Issued in NM

Legal business name

MIRIAM J. CORCORAN, PH.D., INC.

Practice address

201 Tulane Dr SE
Albuquerque, NM 87106-1413

Phone

(505) 255-4012

Fax

(505) 255-4130

NPI assigned

Sep 24, 2008

Organization subpart

Yes

Parent organization

MIRIAM J. CORCORAN, PH.D., INC.As reported in NPPES

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

Authorized official

Name

Ms. Miriiam J Corcoran, PH.D.

Title

President

Phone

(505) 255-4012

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Miriam J Corcoran PHD Inc

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1457501538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 TULANE DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061413",
            "telephone_number": "505-255-4012",
            "fax_number": "505-255-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TULANE DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061413",
            "telephone_number": "505-255-4012",
            "fax_number": "505-255-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM J. CORCORAN, PH.D., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIRIAM J. CORCORAN, PH.D., INC.",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "MIRIIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-255-4012",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NM",
            "license": "478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF NM",
            "identifier": "NM00NE75",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Miranda, COTA/L
• Jovanna Miranda
• Marcela Cazares Miranda, LCSW
• Rhonda Miranda
• Savannah N Miranda, MOTR/L
• Babak Mirin, M.D.
• Neda Mirmesdagh
• Sara Monis Mirza, PHARMD
• Brian George Miscall, MD
• Stephanie Mischell, M.D.

• Psychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.