Southside Behavioral Health
NPI 1700890761 · Community/Behavioral Health Agency · Clarksville, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southside Behavioral Health is a Community/Behavioral Health Agency organization in Clarksville, VA (NPI 1700890761).
Provider details
- NPI number
- 1700890761
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Elizabeth Engelhorn, Executive Director(434) 572-6916
- License
- 090 (VA)
Specialties & taxonomies
Agencies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Southside Community Services Board
Additional practice locations (2)
- 523 Madison StreetBoydton, VA 23917Phone: (434) 738-0154Fax: (434) 738-9545
- 2087 Lawrenceville Plank RoadLawrenceville, VA 23868Phone: (434) 848-4121Fax: (434) 848-4148
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2021-03-09
- Certified
- 2021-03-09
Frequently asked questions
- What is Southside Behavioral Health's NPI number?
- Southside Behavioral Health's National Provider Identifier (NPI) is 1700890761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Behavioral Health?
- Southside Behavioral Health is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Southside Behavioral Health located?
- Southside Behavioral Health's practice location on file with NPPES is 143 Industrial Parkway, Clarksville, VA 23927.
- What is Southside Behavioral Health's phone number?
- The practice phone number listed in the NPPES registry for Southside Behavioral Health is (434) 572-6916.
- Does Southside Behavioral Health accept Medicare?
- Southside Behavioral Health is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southside Behavioral Health?
- The authorized official listed on Southside Behavioral Health's NPPES record is Elizabeth Engelhorn, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Behavioral Health's NPI active?
- Yes — Southside Behavioral Health's NPI (1700890761) is active in the NPPES registry as of the last update on 2021-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.