Clive Behavioral Health LLC
Organization Active NPI Psychiatric Hospital · Clive, IA
NPI 1104449446 · NPPES record last updated Feb 11, 2021
Key facts
- NPI
- 1104449446
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital 283Q00000X
- Legal business name
- CLIVE BEHAVIORAL HEALTH LLC
- Practice address
- 1450 NW 114TH St
Clive, IA 50325 - Phone
- (515) 643-0569
- NPI assigned
- May 21, 2020
- Organization subpart
- No
Authorized official
- Name
- Steve Filton
- Title
- Vice President
- Phone
- (610) 768-3300
Owners & managing parties with NPI records 9
-
Rebecca Peterson, LMHC
Member of 1
Facilities with the same owner 178
Practitioners 10
-
Myles H Anderson, DO
-
Omar Khan, MD
-
Holly E Labertew, ARNP
-
Sherilyn Jean Rittgers, ARNP
-
Jennifer Stromgren, PMHNP
-
Kari Kristiane Dubosque, M.D.
-
Hannah Hodge, PMHNP-BC
Medicare Care Compare: Hospital
- Listed as
- Clive Behavioral Health
- Type
- Psychiatric
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- No
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2206645 | Clive Behavioral Health | Certificate of waiver | Dec 20, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Hospital certification: CCN 164007
- Legal name
- CLIVE BEHAVIORAL HEALTH LLC
- Doing business as
- CLIVE BEHAVIORAL HEALTH
- Certification status
- Active
- Provider type (POS)
- Hospital – Psychiatric
- Participating since
- May 12, 2021
- Last certification
- May 12, 2021
- Beds
- 100
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC · Proprietary
- Enrollment address
- 1500 NW 114TH St
Clive, IA 50325 - Hospital subgroups
- Psychiatric
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Gary M Gilberti |
Corporate Officer |
Feb 8, 2021 | |
| Commonspirit Health |
5% Or Greater Indirect Ownership Interest | May 28, 2018 | |
| Vanessa L Freitag |
Corporate Officer |
Jun 1, 2026 | |
| Matthew D Klein |
Corporate Officer |
Jun 25, 2026 | 100% |
| Corporate Director |
Jun 25, 2026 | 33.3% | |
| Uhs Midwest Behavioral Health LLC |
5% Or Greater Direct Ownership Interest | May 28, 2018 | 52% |
| Alan Moore |
Corporate Officer |
Feb 8, 2021 | |
| Rebecca Peterson |
Corporate Officer |
Jun 1, 2026 | |
| Steve Filton |
Corporate Officer |
Feb 8, 2012 | 100% |
| Corporate Director |
Feb 8, 2021 | 33.3% | |
| Operational/Managerial Control |
Feb 8, 2021 | 100% | |
| Catholic Health Initiatives-Iowa Corp |
5% Or Greater Direct Ownership Interest | May 28, 2018 | 48% |
| Universal Health Services Inc |
5% Or Greater Indirect Ownership Interest | May 28, 2018 | 100% |
| James M Coleman |
Contracted Managing Employee |
Feb 8, 2021 | 50% |
| Paul Hedinger |
Corporate Officer |
Jun 1, 2026 | |
| Uhs of Delaware Inc |
5% Or Greater Indirect Ownership Interest | May 28, 2018 | 100% |
| Operational/Managerial Control | May 28, 2018 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201008003285 | IA | Part a Provider - Hospital | 3274953401 | Practice locations: Clive, IA |
National Provider Directory
Locations
1500 NW 114th St
Clive, IA 50325
Phone (515) 643-0569
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Yes |
Addresses
Primary practice location
1450 NW 114TH St
Clive, IA 50325
Mailing address
1450 NW 114TH St
Clive, IA 50325
Phone (515) 643-0569
NPI Registry JSON
{
"created_epoch": "1590019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613001600000",
"number": "1104449446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 NW 114TH ST",
"city": "CLIVE",
"state": "IA",
"postal_code": "50325",
"telephone_number": "515-643-0569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 NW 114TH ST",
"city": "CLIVE",
"state": "IA",
"postal_code": "50325",
"telephone_number": "515-643-0569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLIVE BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-21",
"last_updated": "2021-02-11",
"certification_date": "2021-01-25",
"status": "A",
"authorized_official_last_name": "FILTON",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "610-768-3300"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.