Organization Active NPI

Pan American Mental Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
National Provider Identifier
1093867772
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
195600 Issued in PA
Legal business name
PAN AMERICAN MENTAL HEALTH SERVICES INC
Practice address
4519 N 5TH St
Philadelphia, PA 19140-2309
Phone
(215) 457-1620
Fax
(215) 457-0350
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Mr. Frederick Ramirez, MSW
Title
Executive Director
Phone
(215) 457-1620

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 195600 PA Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

4519 N 5TH St
Philadelphia, PA 19140-2309

Mailing address

4519 N 5TH St
Philadelphia, PA 19140-2309
Phone (215) 457-1620

Other practice location 1

1 N Wilson Ave
Bristol, PA 19007-4451
Phone (215) 788-6080

Other practice location 2

525 Penn St Ste 4
Reading, PA 19601-5511
Phone (610) 743-3878

Other practice location 3

2561 N Front St
Philadelphia, PA 19133-4005
Phone (215) 425-8909

Other practice location 4

511 W Courtland St
Philadelphia, PA 19140-1404
Phone (215) 457-1620

Other names 1

  • Pan American Mental Health Services Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040812000264 PA Part B Supplier - Clinic/Group Practice 8921070608 Receives reassigned benefits from 2 practitioners
Practice locations: Reading, PA; Philadelphia, PA; Bristol, PA

National Provider Directory

National Provider Directory

Locations

1 N Wilson Ave
Bristol, PA 19007
Phone (215) 788-6080

2561 N Front St
Philadelphia, PA 19133
Phone (215) 425-8909

4519 N 5th St
Philadelphia, PA 19140
Phone (215) 457-1620

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1093867772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402309",
            "telephone_number": "215-457-1620",
            "fax_number": "215-457-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402309",
            "telephone_number": "215-457-1620",
            "fax_number": "215-457-0350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 N Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "PA",
            "postal_code": "190074451",
            "country_code": "US",
            "telephone_number": "215-788-6080",
            "fax_number": "215-788-6004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Penn St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196015511",
            "country_code": "US",
            "telephone_number": "610-743-3878",
            "fax_number": "267-732-1331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2561 N Front St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191334005",
            "country_code": "US",
            "telephone_number": "215-425-8909",
            "fax_number": "215-425-6852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 W Courtland St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191401404",
            "country_code": "US",
            "telephone_number": "215-457-1620",
            "fax_number": "215-455-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAN AMERICAN MENTAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-457-1620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "195600",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pan American Mental Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.