SOUTHWOOD PSYCHIATRIC HOSPITAL, INC. (NPI# 1619299377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619299377 |
| Entity Type | Organization |
| Organization Name | SOUTHWOOD PSYCHIATRIC HOSPITAL, INC. |
| Practice Address |
120 Old Concord Rd Prosperity PA 15329-1422 |
| Mailing Address |
2575 Boyce Plaza Rd Pittsburgh PA 15241-3925 |
| Practice Telephone | 7242226643 |
| Practice Fax Number | 7248840377 |
| Mailing Telephone | 4122574990 |
| Mailing Fax Number | 4122577689 |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-23 |
| Authorized Official Name | MR. STEVE QUIQLEY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4122572990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 402860 | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE CROSS BLUE SHIELD | 0026 | 01 |
| PA | 100778710 | 05 | |
| PA | AETNA BEHAVIORAL HEALTH | 7792783 | 01 |
| WV | WV MEDICAL ASSISTANCE | 0130118001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265754923 | Southwood Psychiatric Hospital, Inc. | Psychiatric Residential Treatment Facility | 110 Old Concord Rd, Prosperity, PA 15329-1422 | 2010-02-23 |
| Street Address |
120 OLD CONCORD RD |
| City | PROSPERITY |
| State | PA |
| Zip Code | 15329-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619140126 | Pressley Ridge | Residential Treatment Facility, Emotionally Disturbed Children | 357 Parcell Road, Prosperity, PA 15329-0000 | 2008-04-04 |
| 1902146590 | Bethany Brown | Doula | 3915 Park Ave, Prosperity, PA 15329-1203 | 2013-02-19 |
| 1841768850 | Cady Merchant | Dietitian, Registered | 4165 Park Ave, Prosperity, PA 15329-1207 | 2018-11-07 |
| 1780232017 | Rachel Lee Kleinhans | Student in an Organized Health Care Education/Training Program | 270 Old Post Rd, Prosperity, PA 15329-1210 | 2019-08-29 |
| 1679991491 | Sheena Hudson | Massage Therapist | 20 Pikes Peak Rd Apt B, Prosperity, PA 15329-1215 | 2014-03-29 |
| 1265754923 | Southwood Psychiatric Hospital, Inc. | Psychiatric Residential Treatment Facility | 110 Old Concord Rd, Prosperity, PA 15329-1422 | 2010-02-23 |
| 1871675504 | Southwood Psychiatric Hospital | Psychiatric Residential Treatment Facility | 130 Old Concord Rd, Prosperity, PA 15329-1422 | 2006-10-20 |
| 1942385836 | Southwood Psychiatric Hospital | Psychiatric Residential Treatment Facility | 13 Lemon Hill Rd, Prosperity, PA 15329-1425 | 2006-10-26 |
| 1629542592 | Brittany Michelle Palm | Specialist/Technologist | 36 Potato Ln, Prosperity, PA 15329-1510 | 2019-01-14 |
| 1417106121 | Greene Arc, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 197 Dunn Station Rd, Prosperity, PA 15329-1625 | 2008-09-17 |
| Find all providers in zip 15329 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265754923 | Southwood Psychiatric Hospital, Inc. | Psychiatric Residential Treatment Facility | 110 Old Concord Rd, Prosperity, PA 15329-1422 | 2010-02-23 |
| 1942385836 | Southwood Psychiatric Hospital | Psychiatric Residential Treatment Facility | 13 Lemon Hill Rd, Prosperity, PA 15329-1425 | 2006-10-26 |
| 1871675504 | Southwood Psychiatric Hospital | Psychiatric Residential Treatment Facility | 130 Old Concord Rd, Prosperity, PA 15329-1422 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750913752 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 5732 Thomas Ave, Philadelphia, PA 19143-4523 | 2020-02-07 |
| 1649802646 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 1187 E Washington Ln, Philadelphia, PA 19138-1061 | 2020-02-07 |
| 1467097675 | Children's Center for Treatment and Education | Psychiatric Residential Treatment Facility | 1214 Freeport Rd, Kittanning, PA 16201-4564 | 2019-11-12 |
| 1144888272 | Perseus House, Inc | Psychiatric Residential Treatment Facility | 516 W 7th St, Erie, PA 16502-1333 | 2019-06-04 |
| 1003328071 | Children's Center for Treatment and Education | Psychiatric Residential Treatment Facility | 585 E Main St, Youngsville, PA 16371-1129 | 2017-10-31 |
| 1750746087 | The Devereux Foundation | Psychiatric Residential Treatment Facility | 160 Devereux Rd, Brandywine Rtf - Dormitory 1 Schwartz, Glenmoore, PA 19343-1615 | 2015-12-31 |
| 1588052609 | Perseus House Inc | Psychiatric Residential Treatment Facility | 643 E 6th St, Erie, PA 16507-1729 | 2014-12-23 |
| 1194164442 | Cornell Abraxas Group, Inc | Psychiatric Residential Treatment Facility | 165 Abraxas Rd, Marienville, PA 16239-0059 | 2013-06-20 |
| 1609153626 | Spirit of Gheel | Psychiatric Residential Treatment Facility | 10 Hollow Rd, Spring City, PA 19475 | 2011-11-04 |
| 1083905533 | Lakeview Neurocare Pennsylvania, Inc. | Psychiatric Residential Treatment Facility | 64 Woods Ln, Lewistown, PA 17044-2082 | 2011-05-02 |
| Find all providers with the same taxonomy | ||||
| City | PROSPERITY |
| Zip Code | 15329 |
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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.