NPIMap

Organization Active NPI

Maryville Academy

Doing business as Maryville

  • Mental Illness Community Based Residential Treatment Facility
  • Bartlett, IL
National Provider Identifier
1922893569
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MARYVILLE ACADEMY
Doing business as
Maryville
Practice address
951 W Bartlett Rd
Bartlett, IL 60103-4479
Phone
(630) 736-7450
Fax
(630) 736-7485
NPI assigned
Apr 14, 2025
Last updated
Apr 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MARYVILLE ACADEMYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Mr. Frederick Smith
Title
Administrator of Community Services
Phone
(847) 390-3004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

951 W Bartlett Rd
Bartlett, IL 60103-4479

Mailing address

1150 N River Rd
Des Plaines, IL 60016-1214
Phone (847) 294-1910

Other names 1

  • Maryville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maryville Academy28 organizations share this tax ID, including this one
Part of
Maryville Academy

Other organizations with this tax ID 27

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

View all 27

Locations

951 W Bartlett Rd
Bartlett, IL 60103
Phone (630) 483-4560

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1922893569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N RIVER RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161214",
            "telephone_number": "847-294-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 W BARTLETT RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034479",
            "telephone_number": "630-736-7450",
            "fax_number": "630-736-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVILLE ACADEMY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYVILLE ACADEMY",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "ADMINISTRATOR OF COMMUNITY SERVICES",
        "authorized_official_telephone_number": "847-390-3004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.