GREENE PAK PSYCHIATRIC SERVICE INC – NPI #1124187554
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

GREENE PAK PSYCHIATRIC SERVICE INC is an AHC clinic located in XENIA, OH. NPPES has assigned the NPI number 1124187554 to GREENE PAK PSYCHIATRIC SERVICE INC on December 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

The NPI profile was previously updated about 19 years ago on Dec 11, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREENE PAK PSYCHIATRIC SERVICE INC below.

NPI Profile for
GREENE PAK PSYCHIATRIC SERVICE INC

NPI Number
1124187554
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREENE PAK PSYCHIATRIC SERVICE INC
Primary location
482 N DETROIT ST
XENIA, OH 45385
Phone: (937) 374-6010 Fax: (937) 374-6014
Mailing address
76 FORDWAY DR
STE 2
VANDALIA, OH 45377
Phone: (937) 890-3139 Fax: (937) 890-3111
Organization Subpart
No
Authorized Official
MAHMOOD RAHMAN
OWNER
Phone: (937) 374-6010
Updated
Identifiers

Identifiers for GREENE PAK PSYCHIATRIC SERVICE INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH0976949
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)
OH
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health
OH

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.