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: November 01, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southpointe Psychiatry & Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southpointe Psychiatry & Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alexandria Baker

Nurse Practitioner

NPI 1912691205

3000 PARK PLACE DR STE 108
Washington, PA 15301

(412) 435-4648

✔ PECOS✔ Accepts Medicare4.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southpointe Psychiatry & Wellness, LLC's NPI number?

The NPI number for Southpointe Psychiatry & Wellness, LLC is 1487496493. It was assigned to this organization in the NPPES registry on June 10, 2024.

Where is Southpointe Psychiatry & Wellness, LLC located?

Southpointe Psychiatry & Wellness, LLC is located at 135 Technology Dr Ste 204, Canonsburg, PA 15317. The listed phone number is (724) 399-3931.

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.

Is Southpointe Psychiatry & Wellness, LLC enrolled in Medicare?

Yes. Southpointe Psychiatry & Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southpointe Psychiatry & Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Southpointe Psychiatry & Wellness, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southpointe Psychiatry & Wellness, LLC was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.