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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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