NPIMap

Organization Active NPI

Catholic Charities of the Archdiocese of Chicago

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1588042931
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
04019 Issued in IL
Legal business name
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Practice address
2310 W Roosevelt Rd
Suite 2W
Chicago, IL 60608-1131
Phone
(312) 655-7191
NPI assigned
May 18, 2015
Reactivated
Aug 24, 2026
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Michael M. Boland
Title
Administrator, President, and Ceo
Phone
(312) 655-7460

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 04019 IL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 04019 IL Primary

Addresses

Primary practice location

2310 W Roosevelt Rd
Suite 2W
Chicago, IL 60608-1131

Mailing address

721 N. Lasalle St.
Chicago, IL 60654
Phone (708) 655-7000

Other identifiers 1

IdentifierTypeStateIssuer
04019MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of the Archdiocese of Chicago9 organizations share this tax ID, including this one
Part of
Catholic Charities of the Archdiocese of Chicago

Other organizations with this tax ID 7

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

Locations

2310 W Roosevelt Rd
Fl 2
Chicago, IL 60608
Phone (312) 416-7425

2310 W Roosevelt Rd
Ste 2W
Chicago, IL 60608
Phone (312) 655-7191

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": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1588042931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N. LASALLE ST.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60654",
            "telephone_number": "708-655-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 W ROOSEVELT RD",
            "address_2": "SUITE 2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081131",
            "telephone_number": "312-655-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2026-08-24",
        "certification_date": "2023-05-12",
        "deactivation_date": "2026-07-08",
        "reactivation_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR, PRESIDENT, AND CEO",
        "authorized_official_telephone_number": "312-655-7460"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "04019",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "04019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04019",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.