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Organization
PENNSYLVANIA PSYCHIATRIC INSTITUTE
Active
Organization
PENNSYLVANIA PSYCHIATRIC INSTITUTE
Active
Other names
Child and Adolescent Partial Program
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY FEEMAN (CEO)
(717) 782-4742
Entity
Organization
Contact information
Practice address
2501 NORTH THIRD STREET, HARRISBURG, PA 17110-2351
(717) 782-6420
Mailing address
PO BOX 826929, PHILADELPHIA, PA 19182-2351
(717) 782-6420
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020963800003
—
PA
01
—
166859
MEDICARE B
PA
01
—
2318
HIGHMARK
PA
01
—
390787
CAPITAL BLUE CROSS
PA
01
—
394051
MEDICARE A
PA
Enumeration date
01/22/2009
Last updated
05/05/2021
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