NPIMap

Organization Active NPI

Chicago BH Hospital, LLC

Doing business as Montrose Behavioral Health Hospital

  • Psychiatric Hospital
  • Chicago, IL
National Provider Identifier
1972384758
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
CHICAGO BH HOSPITAL, LLC
Doing business as
Montrose Behavioral Health Hospital
Practice address
4840 N Marine Dr
Chicago, IL 60640-7860
Phone
(773) 878-9700
NPI assigned
Oct 9, 2023
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Brian Phillip Farley
Title
Vice President and Secretary
Phone
(615) 861-6000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

4840 N Marine Dr
Chicago, IL 60640-7860

Mailing address

4020 Aspen Grove Dr Ste 900
Franklin, TN 37067-3134
Phone (615) 861-6000

Other names 1

  • Montrose Behavioral Health Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220421000308 IL Part A Provider - Hospital 4284021262 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chicago, IL
O20220805003038 IL Part B Supplier - Clinic/Group Practice 4284021262 Receives reassigned benefits from 23 practitioners
2 other NPIs on this enrollment
Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972384758. Details of each certification follow.

Hospital certification: CCN 144043

Legal name
CHICAGO BH HOSPITAL LLC
Doing business as
MONTROSE BEHAVIORAL HEALTH HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Oct 3, 2022
Last certification
Oct 3, 2022
Beds
60
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jul 27, 2021 in DE
Enrollment address
4720 N Clarendon Ave
Chicago, IL 60640-5122
Main/Primary Hospital Location
Hospital subgroups
Psychiatric, Psychiatric unit

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Montrose Behavioral Health HospitalCCN 144043 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0986287Montrose Behavioral Health Hospital4840 N Marine Drive, Chicago, IL 60640Certificate of waiverMay 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Chicago BH Hospital LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4720 N Clarendon Ave
Chicago, IL 60640
Phone (773) 313-4401

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Deborah S Kraemer Individual W-2 Managing EmployeeVice President of Business Offic Jul 27, 2021
Todd S Young Individual Corporate OfficerVice President and Treasurer Oct 27, 2025
Amanda S Wilson Individual W-2 Managing EmployeeFacility Ceo Jan 6, 2026
Acadia Healthcare Company Inc Organization, Franklin, TN Corporation, For-profit, Chain home office 5% Or Greater Direct Ownership Interest Jul 27, 2021 100%
Stacie L Harty Individual W-2 Managing EmployeeVice President of Managed Care Jul 27, 2021
Brian Philip Farley Individual Corporate OfficerVice President & Secretary Jul 26, 2023
Timothy a Sides Individual W-2 Managing EmployeeSenior VP Operations & Finance Jun 5, 2023
Debra K Osteen Individual Corporate OfficerPresident Jan 20, 2026

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1972384758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 ASPEN GROVE DR STE 900",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370673134",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407860",
            "telephone_number": "773-878-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO BH HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montrose Behavioral Health Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montrose Behavioral Health Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.