NPIMap

Organization Active NPI

Belmont Behavioral Hospital, LLC

Doing business as Belmont Behavioral Hospital

  • Psychiatric Hospital
  • Philadelphia, PA
National Provider Identifier
1629468137
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
BELMONT BEHAVIORAL HOSPITAL, LLC
Doing business as
Belmont Behavioral Hospital
Practice address
4200 Monument Rd
Philadelphia, PA 19131-1625
Phone
(215) 456-6611
NPI assigned
Feb 4, 2015
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
VP & Secretary
Phone
(615) 861-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

4200 Monument Rd
Philadelphia, PA 19131-1625

Mailing address

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

Other names 1

  • Belmont Behavioral Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150813009807 PA Part A Provider - Hospital 1153636691 2 other NPIs on this enrollment
Practice locations: Philadelphia, PA
O20151208000473 PA Part B Supplier - Clinic/Group Practice 1153636691 Receives reassigned benefits from 51 practitioners
2 other NPIs on this enrollment
Practice locations: Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629468137. Details of each certification follow.

Hospital certification: CCN 394023

Legal name
BELMONT BEHAVIORAL HOSPITAL LLC
Doing business as
BELMONT BEHAVIORAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 1, 1966
Last certification
Mar 21, 2014
Beds
147
Ownership / control type
Private (not for profit)
Most recent change of ownership
Aug 13, 2015 (4 total)
Organization structure
LLCProprietary
Incorporated
Apr 24, 2014 in DE
Enrollment address
4200 Monument Rd
Philadelphia, PA 19131-1625
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Belmont Behavioral HospitalCCN 394023 · All quality measures
Type
Psychiatric
Ownership
Voluntary non-profit - Private
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
39D1088435Belmont Behavioral Hospital, LLC4200 Monument Road, Philadelphia, PA 19131Certificate of waiverAug 25, 2026

National Provider Directory

National Provider Directory
Tax ID family
Belmont Behavioral Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Deborah S Kraemer Individual W-2 Managing EmployeeVP Business Office Operations Jun 11, 2012
Todd S Young Individual Corporate OfficerVice President and Treasurer Oct 27, 2025
Acadia Healthcare Company Inc Organization, Franklin, TN For-profit, Chain home office 5% Or Greater Direct Ownership Interest Jul 1, 2015 100%
Stacie L Harty Individual W-2 Managing EmployeeVice President of Managed Care Jun 18, 2018
Jacqueline M Basile Individual W-2 Managing EmployeeFacility Ceo Jan 1, 2025
Brian Philip Farley Individual Corporate OfficerVice President & Secretary Jul 26, 2023
Timothy a Sides Individual W-2 Managing EmployeeSenior VP Operations & Finance Jun 5, 2023
Debra K Osteen Individual Corporate OfficerPresident Jan 20, 2026

Facilities with the same owner 59

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

View all 59

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1629468137",
    "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": "4200 MONUMENT RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311625",
            "telephone_number": "215-456-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT BEHAVIORAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "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": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belmont Behavioral Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.