NPIMap

Organization Active NPI

Pennsylvania Psychiatric Institute

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harrisburg, PA
National Provider Identifier
1619102704
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
325480 Issued in PA
Legal business name
PENNSYLVANIA PSYCHIATRIC INSTITUTE
Practice address
401 Division St
Harrisburg, PA 17110-2058
Phone
(717) 782-3131
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Nancy Purtell
Title
Ceo
Phone
(717) 782-4742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 325480 PA Primary

Addresses

Primary practice location

401 Division St
Harrisburg, PA 17110-2058

Mailing address

409 S 2ND St
Harrisburg, PA 17104-1612
Phone (717) 782-3131

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidPA

Other names 1

  • PPI Outpatient Psychiatric 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

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
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.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1619102704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-782-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DIVISION ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171102058",
            "telephone_number": "717-782-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA PSYCHIATRIC INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "PURTELL",
        "authorized_official_first_name": "NANCY",
        "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": "PA",
            "license": "325480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPI Outpatient Psychiatric",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.