PENNSYLVANIA PSYCHIATRIC MEDICAL SERVICES (NPI# 1235642968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235642968 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA PSYCHIATRIC MEDICAL SERVICES |
| Practice Address |
2501 N 3rd St Harrisburg PA 17110-1904 |
| Mailing Address |
Po Box 826929 Philadelphia PA 19182-6929 |
| Practice Telephone | 7177826420 |
| Mailing Telephone | 7177826420 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |
| Authorized Official Name | WILLIAM DALY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7177824742 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1020963800 | 05 |
| Street Address |
2501 N 3RD ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17110-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881686806 | Danielle Y Oakes | Nurse Practitioner | 2501 N 3rd St, 2nd Floor Landis Bldg, Harrisburg, PA 17110-1904 | 2005-08-16 |
| 1952918286 | Nickeea Lynn Raves | Nurse Practitioner | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2020-09-30 |
| 1790399673 | Lynn Allen Cobb | Counselor | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2020-09-08 |
| 1205440245 | Katherine J Pritchett | Social Worker | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2020-09-08 |
| 1902410897 | Heidi M Getsy | Counselor | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2020-09-08 |
| 1215548268 | Arianna Waid | Nurse Practitioner | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2020-08-13 |
| 1124669353 | Alyssa Marie Cosentino | Social Worker | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2019-09-29 |
| 1174092019 | Andrea King | Dietitian, Registered | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2018-11-21 |
| 1205303377 | Kelsey Lee Eisenhauer | Music Therapist | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2018-10-26 |
| 1003303199 | Shana E Rivera | Social Worker | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2018-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993271 | Christopher William Delong | Nurse Practitioner | 2501 North 3rd St. Fl 2, Harrisburg, PA 17110 | 2019-10-14 |
| 1306490701 | Melissa Ann Duchesne | Registered Nurse | 2501 North 3rd Street, Landis Building 7th Floor, Harrisburg, PA 17110 | 2019-07-25 |
| 1558845024 | Mary Kaitlin Novak | Counselor | 3605 Vartan Way, Suite 204a, Harrisburg, PA 17110 | 2018-09-20 |
| 1548781602 | Olson Orenson Knight | Internal Medicine | 2501 N. Third Street, Harrisburg, PA 17110 | 2017-06-29 |
| 1356897938 | Millonee Dialysis LLC | Clinic/Center | 4390 Sturbridge Dr, Harrisburg, PA 17110 | 2016-09-01 |
| 1538529268 | Ergency Associates LLC | Emergency Medical Technician, Basic | 2323 Linglestown Road, Unit 201b, Harrisburg, PA 17110 | 2016-02-23 |
| 1134514904 | Benjamin Daniel Chan | Student in an Organized Health Care Education/Training Program | Kline Health Center, 2501 N. Third St., 2nd Floor, Landis Building, Harrisburg, PA 17110 | 2015-03-30 |
| 1013317411 | Robert Derner Jr. | Counselor | 2700 Commerce Dr., Harrisburg, PA 17110 | 2014-09-04 |
| 1780029454 | Khem Kumar Adhikari | Family Medicine | 3601 North Progress Ave., Harrisburg, PA 17110 | 2013-05-07 |
| 1962791905 | Paul Schaffner Stoner Sr. | General Practice | 4500 Oakhurst Blvd., Apt 319, Harrisburg, PA 17110 | 2011-03-30 |
| Find all providers in zip 17110 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531292 | Siddharth Goel | Internal Medicine | 205 S Front St Upmc Pinnacle, Internal Medicine Residen, Suite 3c, Harrisburg, PA 17104 | 2020-06-03 |
| 1225652696 | Uba Chinyere Udeh | Internal Medicine | 205 S Front St. Suite 3c, Harrisburg, PA 17104 | 2020-06-02 |
| 1659992147 | Manpreet Sidhu | Internal Medicine | Upmc Pinnacle Hospitals 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-06 |
| 1548781602 | Olson Orenson Knight | Internal Medicine | 2501 N. Third Street, Harrisburg, PA 17110 | 2017-06-29 |
| 1952721128 | Michael John Mesaros Jr. | Internal Medicine | 5071 Bass Lake Dr, #2003, Harrisburg, PA 17111-5858 | 2014-04-25 |
| 1497185359 | Alfred Roger Chappelka Jr. | Internal Medicine | 1525 N. Front St Unit 202, Harrisburg, PA 17102 | 2013-11-13 |
| 1912347774 | Esther Chinedu Enu | Internal Medicine | 205 S. Front St, Harrisburg, PA 17101 | 2013-06-26 |
| 1568809812 | Silpa Kosuri | Internal Medicine | 205 S Front St Ste 3c, Harrisburg, PA 17104-1619 | 2013-05-28 |
| 1477841468 | Chad Michael Ward | Internal Medicine | 1199 Colonial Road, Harrisburg, PA 17712-1952 | 2011-07-12 |
| 1700079431 | Heather Elizabeth Stock | Internal Medicine | 4510 N Progress Ave, Harrisburg, PA 17110-3925 | 2007-08-27 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17110 |
Please comment or provide details below to improve the information on PENNSYLVANIA PSYCHIATRIC MEDICAL SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.