NPIMap

Organization Active NPI

Clive Behavioral Health LLC

  • Psychiatric Hospital
  • Clive, IA
National Provider Identifier
1104449446
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 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
Last updated
Feb 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Steve Filton
Title
Vice President
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

1450 NW 114TH St
Clive, IA 50325

Mailing address

1450 NW 114TH St
Clive, IA 50325
Phone (515) 643-0569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201008003285 IA Part A Provider - Hospital 3274953401 Practice locations: Clive, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104449446. Details of each certification follow.

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
LLCProprietary
Enrollment address
1500 NW 114TH St
Clive, IA 50325
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Clive Behavioral HealthCCN 164007 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2206645Clive Behavioral Health1450 NW 114TH Street, Clive, IA 50325Certificate of waiverDec 20, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1500 NW 114th St
Clive, IA 50325
Phone (515) 643-0569

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gary M Gilberti Individual Corporate OfficerBoard Member Feb 8, 2021
Commonspirit Health Organization, Englewood, CO Corporation 5% Or Greater Indirect Ownership Interest May 28, 2018
Vanessa L Freitag Individual Corporate OfficerBoard Manager Jun 1, 2026
Matthew D Klein Individual Corporate OfficerCorporate Secretary Jun 25, 2026 100%
Corporate DirectorCorporate Secretary Jun 25, 2026 33.3%
Uhs Midwest Behavioral Health LLC Organization, King of Prussia, PA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 28, 2018 52%
Alan Moore Individual Corporate OfficerBoard Member Feb 8, 2021
Rebecca Peterson Individual Corporate OfficerBoard Manager Jun 1, 2026
Steve Filton Individual Corporate OfficerVice President Feb 8, 2012 100%
Corporate DirectorVice President Feb 8, 2021 33.3%
Operational/Managerial ControlVice President Feb 8, 2021 100%
Catholic Health Initiatives-Iowa Corp Organization, Des Moines, IA Corporation 5% Or Greater Direct Ownership Interest May 28, 2018 48%
Universal Health Services Inc Organization, King of Prussia, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 28, 2018 100%
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Feb 8, 2021 50%
Paul Hedinger Individual Corporate OfficerBoard Manager Jun 1, 2026
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation, Management services company, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 28, 2018 100%
Operational/Managerial Control May 28, 2018 100%

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 178

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 178

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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

Verify at the official NPI Registry.