NPIMap

Organization Active NPI

George Junior Republic in PA

  • Adult Mental Health Clinic/Center
  • Grove City, PA
National Provider Identifier
1083202386
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GEORGE JUNIOR REPUBLIC IN PA
Practice address
233 George Junior Rd
Grove City, PA 16127-4417
Phone
(724) 458-9330
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nathan M Gressel, MSW MBA
Title
Chief Executive Officer
Phone
(724) 458-9330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

233 George Junior Rd
Grove City, PA 16127-4417

Mailing address

233 George Junior Rd
Grove City, PA 16127-4417
Phone (724) 458-9330

Other identifiers 2

IdentifierTypeStateIssuer
452620MedicaidPA
0014522190132MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
George Junior Republic in Pennsylvania58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1083202386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 GEORGE JUNIOR RD",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274417",
            "telephone_number": "724-458-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 GEORGE JUNIOR RD",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274417",
            "telephone_number": "724-458-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE JUNIOR REPUBLIC IN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "GRESSEL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "724-458-9330",
        "authorized_official_credential": "MSW MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "452620",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014522190132",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.