Town of Putnam Board of Education District 1

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

TOWN OF PUTNAM BOARD OF EDUCATION DISTRICT 1

Practice address

126 County RT 2
Putnam Station, NY 12861-0091

Phone

(518) 547-8266

Fax

(518) 547-9567

NPI assigned

Jan 30, 2007

Organization subpart

No

Name

Mr. Matthew Boucher, MD

Title

Superintendent

Phone

(518) 547-8266

• Putnam Central School Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 19, 2008.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1891832960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91126 COUNTY RT 2",
            "city": "PUTNAM STATION",
            "state": "NY",
            "postal_code": "128610091",
            "telephone_number": "518-547-8266",
            "fax_number": "518-547-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 COUNTY RT 2",
            "city": "PUTNAM STATION",
            "state": "NY",
            "postal_code": "128610091",
            "telephone_number": "518-547-8266",
            "fax_number": "518-547-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF PUTNAM BOARD OF EDUCATION DISTRICT 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BOUCHER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "518-547-8266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01506207",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Putnam Central School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katie Carroll
• James H Hock, OTR/L

• All providers in Putnam Station, NY
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.