NPIMap

Organization Active NPI

Southwood Psychiatric Hospital, LLC

Doing business as Southwood Children's Behavioral Healthcare

  • Psychiatric Residential Treatment Facility
  • Canonsburg, PA
National Provider Identifier
1366524084
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
404660 Issued in PA
Legal business name
SOUTHWOOD PSYCHIATRIC HOSPITAL, LLC
Doing business as
Southwood Children's Behavioral Healthcare
Practice address
342 Linden Creek Rd
Canonsburg, PA 15317-4834
Phone
(412) 257-2290
NPI assigned
Oct 20, 2006
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Mr. Brian P Farley
Title
Vice President & Secretary
Phone
(615) 861-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 404660 PA Primary

Addresses

Primary practice location

342 Linden Creek Rd
Canonsburg, PA 15317-4834

Mailing address

4020 Aspen Grove Dr Ste 900
Franklin, TN 37067-3134
Phone (615) 861-6000

Other identifiers 7

IdentifierTypeStateIssuer
040679A970656OtherPAVBH PA MRDD RTF
4290243OtherPAAETNA MRDD RTF
0026OtherPABLUE CROSS RTF
040679OtherPAVALUE PROVIDER #
1007787100025OtherPACCBHO MRDD RTF
1007787100025MedicaidPA
0130118001MedicaidWV

Other names 1

  • Southwood Children's Behavioral Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366524084. Details of each certification follow.

  • CCN 39L529 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 39L529

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SOUTHWOOD PSYCHIATRIC HOSPITAL LLC - IDD/ASD
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Jul 30, 2007
Last certification
Mar 14, 2018
Beds
54
Ownership / control type
For profit – individual
Facility address
342 Linden Creek Road
Canonsburg, PA 15317

National Provider Directory

National Provider Directory
Tax ID family
Southwood Children's Behavioral Healthcare10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

311 Station St
Bridgeville, PA 15017
Phone (412) 257-2290

342 Linden Creek Rd
Canonsburg, PA 15317
Phone (412) 257-2290

2575 Boyce Plaza Rd
Upper St Clair, PA 15241
Phone (412) 257-2290

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1366524084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 ASPEN GROVE DR STE 900",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370673134",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 LINDEN CREEK RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153174834",
            "telephone_number": "412-257-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWOOD PSYCHIATRIC HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "PA",
            "license": "404660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBH PA MRDD RTF",
            "identifier": "040679A970656",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MRDD RTF",
            "identifier": "4290243",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS RTF",
            "identifier": "0026",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE PROVIDER #",
            "identifier": "040679",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCBHO MRDD RTF",
            "identifier": "1007787100025",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007787100025",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130118001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwood Children's Behavioral Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.