SOUTHWOOD PSYCHIATRIC HOSPITAL, LLC (NPI# 1407475270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407475270 |
| Entity Type | Organization |
| Organization Name | SOUTHWOOD PSYCHIATRIC HOSPITAL, LLC |
| Practice Address |
203-205 Brighton Avenue Rochester PA 15074-2161 |
| Mailing Address |
6100 Tower Cir Ste 1000 Franklin TN 37067-1509 |
| Practice Telephone | 4122572290 |
| Mailing Telephone | 6158616000 |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |
| Authorized Official Name | CHRISTOPHER HOWARD (VP & SECRETARY) |
| Authorized Official Telephone | 6158616000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Southwood Hospital | Doing Business As Name - Organization |
| Street Address |
203-205 BRIGHTON AVENUE |
| City | ROCHESTER |
| State | PA |
| Zip Code | 15074-2161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922657162 | Leslie C. Yaccich | Technician | 742 Mclean Street, Rochester, PA 15074 | 2019-09-10 |
| 1366969339 | Jenna Marie George | Dietitian, Registered | 300 Brighton Avenue, Suite 110, Rochester, PA 15074 | 2017-08-29 |
| 1457759334 | Monica Joyce Dickerman | Occupational Therapist | 174 Virginia Avenue, Rochester, PA 15074 | 2014-12-09 |
| 1356501712 | Eudora Patricia Williams | Durable Medical Equipment & Medical Supplies | 454 Hamrony Ave, Rochester, PA 15074 | 2008-06-10 |
| 1629137559 | Mario A. Grippa | Chiropractor | 373 Virginia Avenue, Rochester, PA 15074 | 2006-12-06 |
| 1831691161 | Lauren Elizabeth Stone | Dental Hygienist | 176 Virginia Ave, Rochester, PA 15074 | 2018-03-02 |
| 1114297652 | Angela Marie Gilkey | Registered Nurse | 176 Virginia Ave, Rochester, PA 15074 | 2011-12-30 |
| 1326073602 | Adele Ruth Hathaway | Social Worker | 176 Virginia Ave, Wpic of Upmc Beaver Valley, Rochester, PA 15074 | 2006-07-12 |
| 1760044093 | Hidden Hill Horse Farm | Recreation Therapist | 600 Pittsburgh Rd, Rochester, PA 15074-1003 | 2019-07-08 |
| 1821061631 | Rochester Area School District | Case Management | 540 Reno St, Rochester, PA 15074-1240 | 2006-02-10 |
| Find all providers in zip 15074 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439728 | Andrea Brennan Licensed Mental Health Counseling, Pllc | Community/Behavioral Health | 245 Old Meadow Dr, Rochester, NY 14626-3548 | 2020-08-24 |
| 1104338284 | Nicole Monta Psychotherapy, Plc | Community/Behavioral Health | 900 W University Dr, Rochester, MI 48307-1817 | 2017-10-30 |
| 1942722079 | Phoenix Psychology Services, Pllc | Community/Behavioral Health | 423 3rd Ave Se Ste 201, Rochester, MN 55904-4897 | 2017-07-11 |
| 1689102246 | Families & Friends of The Mentally Ill | Community/Behavioral Health | 320 N Goodman St, Rochester, NY 14607-1185 | 2017-05-26 |
| 1790221992 | Victory Fitness | Community/Behavioral Health | 52 Depew St, Rochester, NY 14611-2403 | 2017-01-11 |
| 1336681428 | Exercise Express LLC | Community/Behavioral Health | 232 Plymouth Ave S, Rochester, NY 14608-2237 | 2016-11-07 |
| 1457730160 | Maria Nichols | Community/Behavioral Health | 200 Frank Dimino Way Apt 203, Rochester, NY 14624-1188 | 2015-05-27 |
| 1043615586 | Amar Wellness Services, LLC | Community/Behavioral Health | 6556 Clarkia Dr Nw, Rochester, MN 55901-0285 | 2014-10-27 |
| 1639590045 | Riverstone Psychological Services | Community/Behavioral Health | 511 Northern Hills Dr Ne, Suite 2, Rochester, MN 55906 | 2014-01-02 |
| 1154757789 | Passavant Memorial Homes | Community/Behavioral Health | 641 Reno St, Baldwin B, Rochester, PA 15074-1253 | 2013-09-14 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.