NPIMap

Organization Active NPI

Uhs of Fairmount Inc

  • Psychiatric Hospital
  • Philadelphia, PA
National Provider Identifier
1215902168
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
110270 Issued in PA
Legal business name
UHS OF FAIRMOUNT INC
Practice address
561 Fairthorne Ave
Philadelphia, PA 19128-2412
Phone
(215) 487-4000
NPI assigned
Feb 22, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Steve Filton
Title
Cfo/ Sr VP
Phone
(610) 768-3300

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Facilities with the same owner 172

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 172

Care Compare: Hospital

Medicare Care Compare
Listed as
Fairmount Behavioral Health SystemCCN 394027
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0900966Uhs of Fairmount Inc561 Fairthorne Avenue, Philadelphia, PA 19128Certificate of waiverMay 11, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Hospital certification: CCN 394027

Legal name
UHS OF FAIRMOUNT INC
Doing business as
FAIRMOUNT BEHAVIORAL HEALTH SYSTEM
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Mar 25, 1977
Last certification
Mar 16, 2023
Beds
172
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Jun 2, 2000 in DE
Enrollment address
561 Fairthorne Ave
Fairmount Behavioral Health System
Philadelphia, PA 19128-2412
Hospital subgroups
Psychiatric

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100811000792 PA Part a Provider - Hospital 2466359435 Practice locations: Philadelphia, PA

All disclosed owners & managing parties 13

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
George H Brunner Individual Corporate OfficerAssistant Secretary Jul 9, 2010 100%
Jody E McCloud Individual Contracted Managing EmployeeCeo Jan 6, 2025
Corporate OfficerCeo Jan 6, 2025
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerSecretary Oct 1, 2010 100%
Matthew J Peterson Individual Corporate OfficerPresident Sep 19, 2019 100%
Corporate DirectorPresident Sep 19, 2019 33.3%
Operational/Managerial ControlPresident Sep 19, 2019 100%
Thomas M Day Individual Corporate OfficerVice President Jul 20, 2021 100%
Corporate DirectorVice President Jul 20, 2021 33.3%
Steve Filton Individual Corporate OfficerVice President Jul 9, 2010 100%
Corporate DirectorVice President Jul 9, 2010 33.3%
Operational/Managerial ControlVice President Jul 9, 2010 100%
Donald Stewart Individual Contracted Managing EmployeeCfo May 27, 2025
Corporate OfficerCfo May 27, 2025
Cheryl K Ramagano Individual Corporate OfficerTreasurer Jul 9, 2010 100%
Universal Health Services Inc Organization, King of Prussia, PA Corporation 5% Or Greater Direct Ownership Interest Jul 9, 2010 100%
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Jul 9, 2010 50%
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation, Management services company, Chain home office Operational/Managerial Control Jul 9, 2010 100%
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman, Ceo Jan 1, 2021

All facility ownership & control disclosures 4

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Friends HospitalPhiladelphia, PA, CCN 394008 Hospital 5% Or Greater Direct Ownership Interest (19.98%) Apr 1, 2025
Fort Duncan Regional Medical CenterEagle Pass, TX, CCN 450092 Hospital Limited Partnership Interest (99%) Dec 31, 2006
Fort Duncan Regional Medical CenterEagle Pass, TX, CCN 45T092 Hospital Limited Partnership Interest (99%) Jun 2, 2000
NWTX Physician Network PLLCBorger, TX, CCN 678944 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Apr 30, 2014

National Provider Directory

National Provider Directory

Locations

561 Fairthorne Ave
Philadelphia, PA 19128
Phone (215) 487-4000

8305 Ridge Ave
Philadelphia, PA 19128
Phone (215) 381-5886

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 110270 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

561 Fairthorne Ave
Philadelphia, PA 19128-2412

Mailing address

561 Fairthorne Ave
Philadelphia, PA 19128-2412
Phone (215) 487-4000

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1007720100003MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 8, 2009.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1215902168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 FAIRTHORNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282412",
            "telephone_number": "215-487-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 FAIRTHORNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282412",
            "telephone_number": "215-487-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS OF FAIRMOUNT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO/ SR VP",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "PA",
            "license": "110270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007720100003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.