Miriam J. Corcoran, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

478 Issued in NM

Practice address

201 Tulane Dr SE
Albuquerque, NM 87106-1413

Phone

(505) 255-4012

Fax

(505) 255-4130

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619081734",
    "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": {
        "last_name": "CORCORAN",
        "first_name": "MIRIAM",
        "middle_name": "J.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N7126",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN NUMBER",
            "identifier": "201002026",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "NM00NE75",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "850449616",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Mackenzie Corbin, MD
• Joseph Corbin, LPN
• Breanna Nichole Corbitt
• Lorie J Corbus
• Meghan L Corcoran, LCSW
• Yvonne Janice Corcoran, D.O.M.
• Angelina Cordeiro
• Idaly Cordero
• Jesse Cordero
• Christopher Charles Cordes, O.D.

• All providers in Albuquerque, NM
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.