SOUTHPOINTE PSYCHIATRY & WELLNESS
NPI 1407637374
Nurse Practitioner - Psychiatric/Mental Health in Canonsburg, PA

Q: What is Collette C Gibbons Np LLC's NPI number?

The NPI number for Collette C Gibbons Np LLC is 1407637374. It was assigned to this organization in the NPPES registry on October 9, 2023. The provider is doing business as Southpointe Psychiatry & Wellness.

Q: What is Collette C Gibbons Np LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 09, 2023

135 TECHNOLOGY DR STE 204, CANONSBURG, PA 15317(724) 399-3931(724) 618-3853 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2024, Oct 9, 2023 (2 updates tracked since 2023).

On this page

About Southpointe Psychiatry & Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHPOINTE PSYCHIATRY & WELLNESS (NPI 1407637374) is a healthcare organization registered as a psychiatric/mental health in Canonsburg, Pennsylvania and active in the NPI registry since October 2023. The organization lists Collette C Gibbons, Owner, as its authorized official.

NPPES Registry Identity

NPI1407637374

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameCOLLETTE C GIBBONS NP LLC

Location Address135 TECHNOLOGY DR STE 204Canonsburg, PA 15317-9549

Mailing Address343 Oak Forest DrPittsburgh, PA 15216-1122 · (412) 719-9176

Phone(724) 399-3931

Fax(724) 618-3853

Organization SubpartNo

Authorized OfficialCollette C GibbonsOwner · (412) 719-9176

Enumeration DateOctober 9, 2023

Last NPPES UpdateMay 6, 20242 updates tracked since enumeration

NPPES CertifiedMay 6, 2024

✔ NPI 1407637374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

135 TECHNOLOGY DR STE 204, Canonsburg, PA 15317

Open in Google Maps ↗

Other Names 1

Doing Business AsSouthpointe Psychiatry & Wellness

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER A. BOWMAN DNP, MBA, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)