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Organization
PENNSYLVANIA PSYCHIATRIC INSTITUTE
Active
Organization
PENNSYLVANIA PSYCHIATRIC INSTITUTE
Active
Other names
PPI Outpatient Psychiatric
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
—
1020963800005
—
PA
01
—
1622985
GATEWAY MEDIASSURED
PA
01
—
166859
MEDICARE B
PA
01
—
2318
HIGHMARK
PA
01
—
394051
MEDICARE A
PA
01
—
39M006
CAPITAL BLUE CROSS
PA
Enumeration date
01/15/2009
Last updated
05/05/2021
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