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GREENE PAK PSYCHIATRIC SERVICE INC
NPI 1124187554
Clinic/Center - Adult Mental Health in Xenia, OH

Active since December 08, 2006
482 N DETROIT ST, XENIA, OH 45385(937) 374-6010(937) 374-6014 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Greene Pak Psychiatric Service Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREENE PAK PSYCHIATRIC SERVICE INC (NPI 1124187554) is a healthcare organization registered as an adult mental health in Xenia, Ohio and active in the NPI registry since December 2006. The organization lists Mahmood Rahman, Owner, as its authorized official.

NPPES Registry Identity

NPI1124187554
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameGREENE PAK PSYCHIATRIC SERVICE INC
Location Address482 N DETROIT STXenia, OH 45385
Mailing Address76 Fordway Dr, Ste 2Vandalia, OH 45377 · (937) 890-3139 · Fax (937) 890-3111
Phone(937) 374-6010
Fax(937) 374-6014
Organization SubpartNo
Authorized OfficialMahmood RahmanOwner · (937) 374-6010
Enumeration DateDecember 8, 2006
Last NPPES UpdateDecember 11, 2007
✔ NPI 1124187554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
482 N DETROIT ST, Xenia, OH 45385
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Other Identifiers 5

Medicare PINRA0764598OH
Medicaid0976949OH
Medicare PINGR9331591OH
Medicare PINGR9331592OH
Medicare PINRA0764597OH

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYLLIS J LACKEY LIC PROF COUNSELOR
Counselor
482 N DETROIT ST
XENIA, OH 45385
Greene County (937) 374-6010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greene Pak Psychiatric Service Inc's NPI number?

The NPI number for Greene Pak Psychiatric Service Inc is 1124187554. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is Greene Pak Psychiatric Service Inc located?

Greene Pak Psychiatric Service Inc is located at 482 N Detroit St, Xenia, OH 45385. The listed phone number is (937) 374-6010.

What is Greene Pak Psychiatric Service Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Greene Pak Psychiatric Service Inc was last updated on December 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.