MOUNTAIN LAKE ACADEMY – NPI #1255507497
Residential Treatment Facility, Emotionally Disturbed Children
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
MOUNTAIN LAKE ACADEMY is a residential treatment facility located in LAKE PLACID, NY. NPPES has assigned the NPI number 1255507497 to MOUNTAIN LAKE ACADEMY on May 07, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.
The NPI profile was last updated on Feb 06, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUNTAIN LAKE ACADEMY below.
NPI Profile for
MOUNTAIN LAKE ACADEMY
(more than 18 years ago)
All associated names:
Mountain Lake Children's Residence, Inc.
LAKE PLACID, NY 12946 Phone: (518) 523-4300 Fax: (518) 523-5322
CEO
Phone: (518) 523-4300
Identifiers for MOUNTAIN LAKE ACADEMY
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | NY | 01949242 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.