Active NPI
Michael Cochran
- Community/Behavioral Health Agency
- Saranac Lake, NY
National Provider Identifier
1962610097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MICHAEL COCHRAN
- Practice address
- 96 Clinton Ave Apt 2
Saranac Lake, NY 12983-2066 - Phone
- (518) 524-4955
- NPI assigned
- May 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Cochran, M.A.
- Title
- Director
- Phone
- (518) 524-4955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
96 Clinton Ave Apt 2
Saranac Lake, NY 12983-2066
Mailing address
96 Clinton Ave Apt 2
Saranac Lake, NY 12983-2066
Phone (518) 524-4955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01783742 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962610097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 CLINTON AVE APT 2",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129832066",
"telephone_number": "518-524-4955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 CLINTON AVE APT 2",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129832066",
"telephone_number": "518-524-4955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL COCHRAN",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COCHRAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "518-524-4955",
"authorized_official_credential": "M.A."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01783742",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saranac Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.