NPIMap

Organization Active NPI

Pennsylvania Psychiatric Institute

Doing business as Child and Adolescent Partial Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harrisburg, PA
National Provider Identifier
1487892972
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PENNSYLVANIA PSYCHIATRIC INSTITUTE
Doing business as
Child and Adolescent Partial Program
Practice address
2501 North Third Street
Harrisburg, PA 17110-2351
Phone
(717) 782-6420
NPI assigned
Jan 22, 2009
Last updated
May 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Kimberly Feeman
Title
Ceo
Phone
(717) 782-4742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2501 North Third Street
Harrisburg, PA 17110-2351

Mailing address

PO Box 826929
Philadelphia, PA 19182-2351
Phone (717) 782-6420

Other identifiers 5

IdentifierTypeStateIssuer
1020963800003MedicaidPA
394051OtherPAMEDICARE A
166859OtherPAMEDICARE B
2318OtherPAHIGHMARK
390787OtherPACAPITAL BLUE CROSS

Other names 1

  • Child and Adolescent Partial Program Doing business as

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487892972. 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 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

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 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1487892972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826929",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191822351",
            "telephone_number": "717-782-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 NORTH THIRD STREET",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171102351",
            "telephone_number": "717-782-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA PSYCHIATRIC INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "FEEMAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-782-4742"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020963800003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE A",
            "identifier": "394051",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "166859",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "2318",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "390787",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child and Adolescent Partial Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Child and Adolescent Partial Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.