Southstone Behavioral Healthcare Center, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

SOUTHSTONE BEHAVIORAL HEALTHCARE CENTER, LLC

Practice address

3046 Carlbrook Rd
South Boston, VA 24592-6882

Phone

(434) 907-2966

NPI assigned

Jan 24, 2018

Organization subpart

Yes

Parent organization

SOUTHSTONE BEHAVIORAL HEALTHCARE CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Christopher L Howard

Title

Director, VP & Secretary

Phone

(615) 861-6000

Specialties & licenses 1

Addresses

Other names 1

• Southstone Outpatient Services Other name

Tax ID family

Southstone Behavioral Healthcare Center LLC2 organizations share this tax ID, including this one

Part of

Southstone Behavioral Healthcare Center LLC

Other organizations with this tax ID 1

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

• Southstone Behavioral Healthcare Center, LLC

  • Psychiatric Residential Treatment Facility
  • South Boston, VA
  • NPI 1780192229
  NPD tax ID

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.

• Southstone Behavioral Healthcare Center, LLC

  • Psychiatric Residential Treatment Facility
  • South Boston, VA
  • NPI 1780192229
  NPPES parent name

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1144728213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 TOWER CIR STE 1000",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671509",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3046 CARLBROOK RD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245926882",
            "telephone_number": "434-907-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSTONE BEHAVIORAL HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHSTONE BEHAVIORAL HEALTHCARE CENTER, LLC",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR, VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southstone Outpatient Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Southern Gastroenterology Endoscopy Center, P.C.
• Southside Behavioral Health - Brandon Home
• Southside Emergency Physicians PC
• Southside Medical Associates P.C
• Southside Wound Care PLLC
• Southstone Behavioral Healthcare Center, LLC
• Souza & Associates, Inc., P.C.
• Cesar A Souza, M.D.
• Pablo Cesar Souza, M.D.
• Sparks & Maccarty LTD

• Adolescent and Children Mental Health Clinic/Center in South Boston, VA
• Providers in South Boston, VA by specialty
• Adolescent and Children Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.