SOUTHPOINTE PSYCHIATRY & WELLNESS, LLC
NPI 1487496493
Nurse Practitioner - Psychiatric/Mental Health in Canonsburg, PA

Q: What is Southpointe Psychiatry & Wellness, LLC's specialty?

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

Active since June 10, 2024

135 TECHNOLOGY DR STE 204, CANONSBURG, PA 15317(724) 399-3931(866) 601-3186 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2024, Jun 25, 2024, Jun 10, 2024 (3 updates tracked since 2024).

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About Southpointe Psychiatry & Wellness, Llc NPPES

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

SOUTHPOINTE PSYCHIATRY & WELLNESS, LLC (NPI 1487496493) is a healthcare organization registered as a psychiatric/mental health in Canonsburg, Pennsylvania and active in the NPI registry since June 2024. The organization lists Collette Gibbons, Member, as its authorized official.

NPPES Registry Identity

NPI1487496493

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameSOUTHPOINTE PSYCHIATRY & WELLNESS, LLC

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

Mailing Address135 Technology Dr Ste 204Canonsburg, PA 15317-9549 · (724) 399-3931 · Fax (866) 601-3186

Phone(724) 399-3931

Fax(866) 601-3186

Organization SubpartNo

Authorized OfficialCollette GibbonsMember · (724) 399-3931

Enumeration DateJune 10, 2024

Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1487496493 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

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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)