Organization Active NPI

Kenneth J. Cochrane, PH.D., LLC

  • Clinical Psychologist
  • Leesburg, FL
National Provider Identifier
1619251287
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8381 Issued in FL
Legal business name
KENNETH J. COCHRANE, PH.D., LLC
Practice address
5635 Celebration Way
Leesburg, FL 34748-8379
Phone
(352) 406-5937
Fax
(407) 699-5081
NPI assigned
Sep 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Authorized official

Name
Dr. Kenneth James Cochrane, PH.D.
Title
Manager/Owner
Phone
(352) 406-5937

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY8381 FL Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 009300 NY

Addresses

Primary practice location

5635 Celebration Way
Leesburg, FL 34748-8379

Mailing address

5635 Celebration Way
Leesburg, FL 34748-8379
Phone (352) 406-5937

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1619251287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 CELEBRATION WAY",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347488379",
            "telephone_number": "352-406-5937",
            "fax_number": "407-699-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 CELEBRATION WAY",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347488379",
            "telephone_number": "352-406-5937",
            "fax_number": "407-699-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J. COCHRANE, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "COCHRANE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "352-406-5937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8381",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.