Organization Active NPI

Three Rivers Behavioral Health

  • Adult Mental Health Clinic/Center
  • West Mifflin, PA
National Provider Identifier
1073308243
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
THREE RIVERS BEHAVIORAL HEALTH
Practice address
4043 Irene St
West Mifflin, PA 15122-2069
Phone
(616) 446-0271
NPI assigned
Apr 10, 2025
Organization subpart
Yes
Parent organization
THREE RIVERS BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kyle Small
Title
Owner
Phone
(317) 372-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4043 Irene St
West Mifflin, PA 15122-2069

Mailing address

4043 Irene St
West Mifflin, PA 15122-2069
Phone (616) 446-0271

Other names 1

  • Three Rivers Intensive Outpatient Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Three Rivers Behavioral Health2 organizations share this tax ID, including this one
Part of
Three Rivers Behavioral Health

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1073308243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4043 IRENE ST",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151222069",
            "telephone_number": "616-446-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4043 IRENE ST",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151222069",
            "telephone_number": "616-446-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE RIVERS BEHAVIORAL HEALTH",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-372-6611"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Intensive Outpatient Program",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Three Rivers Intensive Outpatient Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Mifflin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.