Provider Type Icon

MARYVILLE ACADEMY NPI 1982154480


NPI Profile

NPI: 1982154480
Provider Name: MARYVILLE ACADEMY

Doing Business As: FAMILY BEHAVIORAL HEALTH CLINIC

Classification:Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
951 W BARTLETT RD
BARTLETT, IL
ZIP 60103
Get Directions

Phone: (630) 483-4560

MARYVILLE ACADEMY is an adult mental health clinic center in Bartlett, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MARYVILLE ACADEMY NPI is 1982154480. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Behavioral Health Clinic.

The provider's business location address is:

951 W BARTLETT RD
BARTLETT, IL
ZIP 60103-479
Phone: (630) 483-4560

The provider's authorized official is Sr. Catherine Ryan .
The authorized official title is Executive Director and has the following contact phone number (847) 294-1893.

The enumeration date for this NPI number is 10/7/2016 and was last updated on 10/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/14/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.