Organization
PENN PSYCHIATRIC CENTER INC
Active
Organization
PENN PSYCHIATRIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR FARAG MD (PRESIDENT PSYCHIATRIST)
(610) 917-2200
Entity
Organization
Contact information
Practice address
601 GAY ST, PHOENIXVILLE, PA 19460-3852
(610) 917-2200
(610) 917-2360
Mailing address
PO BOX 187, GWYNEDD VALLEY, PA 19437-0187
(610) 917-2200
(610) 917-2360
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
039341L
PA
261Q00000X
Clinic/Center
117910
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
117910
PA
261QM0850X
Adult Mental Health Clinic/Center
117910
PA
261QR0400X
Rehabilitation Clinic/Center
117910
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10753391
—
PA
Enumeration date
10/17/2006
Last updated
03/20/2026
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