NPIMap

Organization Active NPI

Three Rivers Behavioral Health

  • Psychiatric Hospital
  • West Mifflin, PA
National Provider Identifier
1407660533
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
THREE RIVERS BEHAVIORAL HEALTH
Practice address
4043 Irene St
West Mifflin, PA 15122-2069
Phone
(616) 446-0271
NPI assigned
Feb 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Mrs. Elizabeth Jachim
Title
Corp Clinical
Phone
(616) 446-0271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

4043 Irene St
West Mifflin, PA 15122-2069

Mailing address

12037 Leighton CT
Carmel, IN 46032-7345
Phone (616) 446-0271

Other names 1

  • Three Rivers Behavioral Heath LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250924000356 PA Part A Provider - Hospital 4082119821 Practice locations: West Mifflin, PA

Hospital certification: CCN 394064

Legal name
THREE RIVERS BEHAVIORAL HEALTH
Doing business as
FE 84
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jan 22, 2026
Last certification
Jan 22, 2026
Beds
19
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
4043 Irene St
West Mifflin, PA 15122-2069
Main/Primary Hospital Location
Hospital subgroups
Psychiatric unit

National Provider Directory

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

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Fe84 LLC Organization, Carmel, IN LLC 5% Or Greater Direct Ownership Interest Feb 1, 2019 100%
Morris D Long Individual 5% Or Greater Direct Ownership Interest Feb 1, 2025 77%
Operational/Managerial Control Feb 14, 2025 50%
Midwest Behavioral Management LLC Organization, Indianapolis, IN LLC, Management services company, For-profit 5% Or Greater Direct Ownership Interest Feb 14, 2025 100%
Kyle D Small Individual 5% Or Greater Direct Ownership Interest Feb 1, 2025 23%
Operational/Managerial ControlCeo Feb 14, 2025 50%

Facilities with the same owner 1

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1407660533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12037 LEIGHTON CT",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327345",
            "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": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "JACHIM",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CORP CLINICAL",
        "authorized_official_telephone_number": "616-446-0271",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Behavioral Heath LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Mifflin, PA

Sources for this page

Verify at the official NPI Registry.