NPIMap

Organization Active NPI

Southwood Psychiatric Hospital, LLC

  • Psychiatric Residential Treatment Facility
  • Prosperity, PA
National Provider Identifier
1871675504
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
402870 Issued in PA
Legal business name
SOUTHWOOD PSYCHIATRIC HOSPITAL, LLC
Practice address
130 Old Concord Rd
Prosperity, PA 15329-1422
Phone
(724) 222-7486
Fax
(724) 222-6709
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
Brian P Farley
Title
Vice President and Secretary
Phone
(615) 861-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 402870 PA Primary

Addresses

Primary practice location

130 Old Concord Rd
Prosperity, PA 15329-1422

Mailing address

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

Other identifiers 7

IdentifierTypeStateIssuer
1007787100011OtherPACCBHO PRO RTFS
4290243OtherPAAETNA PRO RTFS
0026OtherPABLUE CROSS RTF
040679OtherPAVALUE PROVIDER #
1007787100011MedicaidPA
0130118001MedicaidWV
040679A324172OtherPAVBH PA PRO RTFS

Other names 1

  • PRO site RTFs Other name

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

130 Old Concord Rd
Prosperity, PA 15329
Phone (724) 222-7486

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": "1871675504",
    "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": "130 OLD CONCORD RD",
            "city": "PROSPERITY",
            "state": "PA",
            "postal_code": "153291422",
            "telephone_number": "724-222-7486",
            "fax_number": "724-222-6709"
        }
    ],
    "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 AND SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "PA",
            "license": "402870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCBHO PRO RTFS",
            "identifier": "1007787100011",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PRO RTFS",
            "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007787100011",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130118001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBH PA PRO RTFS",
            "identifier": "040679A324172",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO site RTFs",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PRO site RTFs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prosperity, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.