Impak Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

IMPAK PSYCHIATRY

Practice address

390 Commerce Drive
Fort Washington, PA 19034-2600

Phone

(267) 715-2089

Fax

(267) 361-1300

NPI assigned

Mar 29, 2024

Organization subpart

No

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

Authorized official

Name

Elizabeth PakNPI 1619528833

Title

President

Phone

(267) 715-2089

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Elizabeth Pak, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Washington, PA
  • NPI 1619528833
  NPD Authorized official

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1508617283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 COMMERCE DR # 220",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342600",
            "telephone_number": "267-715-2089",
            "fax_number": "267-361-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 COMMERCE DRIVE",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342600",
            "telephone_number": "267-715-2089",
            "fax_number": "267-361-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPAK PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-715-2089"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Howell, LAMFT
• Thomas Michael Howell, MPT
• Benjamin W Hsu, DMD
• Callye Huf, PT, DPT
• Siu-Kuen Azor Hui, PHD, MSPH
• Incommunity Treatment Services
• Juliet Ingram
• Marianne E. Intoccia, PHD
• Julia Frida Ioffe
• Iuoe Local 542 Health Center

• Psychiatric/Mental Health Nurse Practitioner in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.