Organization Active NPI

Michael Cochran

  • Community/Behavioral Health Agency
  • Saranac Lake, NY
National Provider Identifier
1962610097
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01783742MedicaidNY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.