Organization Active NPI

Pennsylvania Psychiatric Institute

  • Methadone Clinic
  • Harrisburg, PA
National Provider Identifier
1245760743
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
PENNSYLVANIA PSYCHIATRIC INSTITUTE
Practice address
2501 N 3Rd St FL 1
Harrisburg, PA 17110-1904
Phone
(717) 782-6420
NPI assigned
Jun 16, 2017
Last updated
Aug 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
William Daly
Title
Chief Executive Officer
Phone
(717) 782-4742

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X
Addiction Medicine (Internal Medicine) Physician 207RA0401X

Addresses

Primary practice location

2501 N 3Rd St FL 1
Harrisburg, PA 17110-1904

Mailing address

2501 N 3Rd St
Harrisburg, PA 17110-1904
Phone (717) 782-4742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
Opioid treatment program
Medicare-enrolled since Jan 1, 2021

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080313000034 PA Part A Provider - Hospital 3870678915 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Harrisburg, PA
O20250821003578 PA Part A Provider - Opioid Treatment Program (Otp) 3870678915 Practice locations: Harrisburg, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245760743. Details of each certification follow.

Hospital certification: CCN 394051

Legal name
PENNSYLVANIA PSYCHIATRIC INSTITUTE
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Mar 12, 2009
Last certification
Mar 12, 2009
Beds
60
Ownership / control type
Private (for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 26, 2007 in PA
Enrollment address
2501 N 3Rd St
Harrisburg, PA 17110-1904
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Pennsylvania Psychiatric InstituteCCN 394051 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

401 Division St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-4349

20 Hope Dr
Hershey, PA 17033
Phone (717) 782-4742

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Susan B Promes Individual Corporate DirectorDirector Nov 18, 2016
Leslyn Williamson Individual Corporate OfficerPresident Mar 6, 2026
W-2 Managing EmployeeAd; Mar 6, 2026
Kenneth E Wood Individual Corporate DirectorBoard Member Jul 1, 2024
Highmark Health Organization, Pittsburgh, PA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 20%
Laurie Talbot Individual Corporate OfficerCompliance Officer Dec 1, 2016
Erika H Saunders Individual Corporate Director Jan 23, 2015
The Pennsylvania State University Organization, University Park, PA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 80%
Penn State Health Organization, Hershey, PA Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
Taylor Andrews Individual Corporate Director Nov 18, 2016
Ann Allwein Individual Corporate OfficerAssociate Secretary Oct 1, 2024
Kyle C Snyder Individual Corporate DirectorBoard Member Jul 1, 2024
Nicole Lehman Individual Corporate OfficerInterim Secretary Jul 1, 2023
Randy B Morris Individual Corporate OfficerCfo Apr 1, 2026

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1497571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1245760743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N 3RD ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101904",
            "telephone_number": "717-782-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N 3RD ST FL 1",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101904",
            "telephone_number": "717-782-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA PSYCHIATRIC INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-16",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "717-782-4742"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.