Provider Type Icon

PENNSYLVANIA PSYCHIATRIC MEDICAL SERVICES NPI 1235642968


NPI Information

NPI: 1235642968
Provider Name: PENNSYLVANIA PSYCHIATRIC MEDICAL SERVICES
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 39D1081839

Address:
2501 N 3RD ST
HARRISBURG, PA
ZIP 17110
Phone: (717) 782-6420
Get Directions

PENNSYLVANIA PSYCHIATRIC MEDICAL SERVICES is an internal medicine in Harrisburg, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PENNSYLVANIA PSYCHIATRIC MEDICAL SERVICES NPI is 1235642968. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2501 N 3RD ST
HARRISBURG, PA
ZIP 17110-904
Phone: (717) 782-6420

The provider's authorized official is William Daly .
The authorized official title is Chief Executive Officer and has the following contact phone number (717) 782-4742.

The CLIA number assigned to this NPI record is 39D1081839 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2017 and was last updated on 11/16/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0000XFamily MedicineAdolescent MedicineNo
2207QA0505XFamily MedicineAdult MedicineNo
3207R00000XInternal MedicineYes
4207RA0401XInternal MedicineAddiction MedicineNo
52084P0800XPsychiatry & NeurologyPsychiatryNo
6363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11020963800MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.