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MOUNTAIN LAKE ACADEMY
NPI 1255507497
Residential Treatment Facility, Emotionally Disturbed Children in Lake Placid, NY

Active since May 07, 2008
386 RIVER ROAD, LAKE PLACID, NY 12946(518) 523-4300(518) 523-5322 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mountain Lake Academy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN LAKE ACADEMY (NPI 1255507497), doing business as Mountain Lake Children's Residence, Inc., is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Lake Placid, New York and active in the NPI registry since May 2008. The organization lists Christopher Mariano, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255507497
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameMOUNTAIN LAKE ACADEMY
Location Address386 RIVER ROADLake Placid, NY 12946
Mailing Address386 River RoadLake Placid, NY 12946 · (518) 523-4300 · Fax (518) 523-5322
Phone(518) 523-4300
Fax(518) 523-5322
Organization SubpartYesParent: Windwood Meadow, Inc.
Authorized OfficialChristopher MarianoCeo · (518) 523-4300
Enumeration DateMay 7, 2008
Last NPPES UpdateFebruary 6, 2025
✔ NPI 1255507497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
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.
386 RIVER ROAD, Lake Placid, NY 12946
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Other Names 1

Former Legal Business NameMountain Lake Children's Residence, Inc.

Other Identifiers 1

Medicaid01949242NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain Lake Academy's NPI number?

The NPI number for Mountain Lake Academy is 1255507497. It was assigned to this organization in the NPPES registry on May 7, 2008. The provider was formerly known as Mountain Lake Children's Residence, Inc..

Where is Mountain Lake Academy located?

Mountain Lake Academy is located at 386 River Road, Lake Placid, NY 12946. The listed phone number is (518) 523-4300.

What is Mountain Lake Academy's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Mountain Lake Academy was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.