NPIMap

Organization Active NPI

Uhs Midwest Behavioral Health LLC

  • Psychiatry Physician
  • Clive, IA
National Provider Identifier
1871174615
Registry record updated Apr 14, 2021
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Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
UHS MIDWEST BEHAVIORAL HEALTH LLC
Practice address
1450 NW 114TH St
Clive, IA 50325
Phone
(844) 680-0504
NPI assigned
Apr 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 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
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1450 NW 114TH St
Clive, IA 50325

Mailing address

1450 NW 114TH St
Clive, IA 50325
Phone (844) 680-0504

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210430000162 IA Part B Supplier - Clinic/Group Practice 4385054964 Receives reassigned benefits from 21 practitioners
Practice locations: Clive, IA

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clive Behavioral HealthClive, IA, CCN 164007 Hospital 5% Or Greater Direct Ownership Interest (52%) May 28, 2018
Southeast Behavioral HospitalCape Girardeau, MO, CCN 264034 Hospital 5% Or Greater Direct Ownership Interest (75%) Aug 5, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1871174615",
    "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": "844-680-0504"
        },
        {
            "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": "844-680-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS MIDWEST BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-03-23",
        "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": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "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.