Pac Family Based Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PAC FAMILY BASED SERVICES

Practice address

1250 Germantown Pike Ste 200
Plymouth Meeting, PA 19462-2444

Phone

(267) 644-8448

NPI assigned

Mar 9, 2010

Organization subpart

Yes

Parent organization

PREVENTATIVE AFTERCARE, INC.As reported in NPPES

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

Authorized official

Name

Mr. Nathan M. Gressel, MSW, MBA

Title

Chief Executive Officer

Phone

(724) 458-9330

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pac Family Based Services2 organizations share this tax ID, including this one

Part of

Pac Family Based Services

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Preventative Aftercare Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Grove City, PA
  • NPI 1811711328
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Preventative Aftercare Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Grove City, PA
  • NPI 1811711328
  NPPES parent name

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1619290343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1333",
            "address_2": "3900 SKIPPACK PIKE, SUITE C-2",
            "city": "SKIPPACK",
            "state": "PA",
            "postal_code": "19474",
            "telephone_number": "267-257-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 GERMANTOWN PIKE STE 200",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622444",
            "telephone_number": "267-644-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAC FAMILY BASED SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREVENTATIVE AFTERCARE, INC.",
        "enumeration_date": "2010-03-09",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "GRESSEL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "724-458-9330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, MBA"
    },
    "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": "1024789290002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunday Owoaje
• Yetunde Owolabi, LPN
• Harriet Owusu, CNA
• Deborah O. Oyinloye, RPH
• Gulseven Ozer
• Catherine Pacewicz
• Christopher Pacheco
• Becky C Padgett, LPN
• Lisa Padvelskis, CRNP
• Nicholas Joseph Pagano Jr., DPM

• Mental Health Clinic/Center (Including Community Mental Health Center) in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.