Organization Active NPI

Catholic Charities of the Archdiocese of Chicago

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1881928398
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
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, 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
Monsignor Michael M Boland
Title
Administrator, President and Ceo
Phone
(312) 655-7460

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0039714330OtherILDCFS-MEDICAID

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities10 organizations share this tax ID, including this one
Part of
Catholic Charities

Other organizations with this tax ID 7

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

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

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.