Active NPI
Catholic Charities of the Archdiocese of Chicago
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
National Provider Identifier
1881928398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 04019
- Legal business name
- CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
- Practice address
- 11255 S Michigan Ave
Chicago, IL 60628-4909 - Phone
- (312) 655-7984
- NPI assigned
- Sep 30, 2009
- Reactivated
- Aug 24, 2026
- Last updated
- Aug 24, 2026
- Organization subpart
- Yes
- Parent organization
- CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monsignor Michael M Boland
- Title
- Administrator, President and Ceo
- Phone
- (312) 655-7460
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 04019 | IL | Primary |
| Community/Behavioral Health Agency | 251S00000X | 04019 | IL |
Addresses
Primary practice location
11255 S Michigan Ave
Chicago, IL 60628-4909
Mailing address
721 N la Salle Dr
Chicago, IL 60654-3503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0039714330 | Other | IL | DCFS-MEDICAID |
National Provider Directory
National Provider Directory- Tax ID family
- Catholic Charities
- Part of
- Catholic Charities
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukegan, IL
- NPI 1295154813
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1356263099
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1588042931
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1669583001
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1679951834
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1699009092
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Round Lake, IL
- NPI 1790452787
Locations
11255 S Michigan Ave
Chicago, IL 60628
Phone (312) 655-7984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1881928398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 N LA SALLE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606543503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11255 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606284909",
"telephone_number": "312-655-7984"
}
],
"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": "2009-09-30",
"last_updated": "2026-08-24",
"certification_date": "2023-05-12",
"deactivation_date": "2026-07-23",
"reactivation_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "BOLAND",
"authorized_official_first_name": "MONSIGNOR MICHAEL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR, PRESIDENT AND CEO",
"authorized_official_telephone_number": "312-655-7460"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "IL",
"license": "04019",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": "04019",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DCFS-MEDICAID",
"identifier": "0039714330",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Catholic Charities of the Archdiocese of Chicago
- Catholic Charities of the Archdiocese of Chicago
- Catholic Charities of the Archdiocese of Chicago
- Catholic Charities of the Archdiocese of Chicago
- Catholic Charities of the Archdiocese of Chicago
- Alissa A Catiis
- Francesca A Catinella, LCPC, NCC
- Doris Catizzone
- Kimberly Catledge, PHARMD
- Elizabeth Catlin, PT, DPT
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.