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MARYVILLE ACADEMY
NPI 1003341058
Clinic/Center - Rehabilitation, Substance Use Disorder in Chicago, IL

Active since April 27, 2017
1658 W GRAND AVE, CHICAGO, IL 60622(312) 491-3530 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, Jul 11, 2022, Jul 8, 2022 and 2 more (5 updates tracked since 2017).

About Maryville Academy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYVILLE ACADEMY (NPI 1003341058), doing business as Family Behavioral Health Clinic, is a healthcare organization registered as a rehabilitation, substance use disorder in Chicago, Illinois and active in the NPI registry since April 2017. The organization lists Frederick Smith, Administrator Of Community Services, as its authorized official.

NPPES Registry Identity

NPI1003341058
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameMARYVILLE ACADEMY
Location Address1658 W GRAND AVEChicago, IL 60622-6309
Mailing Address1658 W Grand AveChicago, IL 60622-6309 · (312) 491-3530
Phone(312) 491-3530
Organization SubpartNo
Authorized OfficialFrederick SmithAdministrator Of Community Services · (847) 390-3004
Enumeration DateApril 27, 2017
Last NPPES UpdateJune 11, 20255 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1003341058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
1658 W GRAND AVE, Chicago, IL 60622
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Other Names 1

Doing Business AsFamily Behavioral Health Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARYVILLE ACADEMY
Community Based Residential Treatment Facility, Mental Illness
1658 W GRAND AVE
CHICAGO, IL 60622
Cook County (312) 491-3500
MARYVILLE ACADEMY
Clinic/Center (Mental Health (Including Community Mental Health Center))
1658 W GRAND AVE
CHICAGO, IL 60622
Cook County (312) 491-3530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryville Academy's NPI number?

The NPI number for Maryville Academy is 1003341058. It was assigned to this organization in the NPPES registry on April 27, 2017. The provider is doing business as Family Behavioral Health Clinic.

Where is Maryville Academy located?

Maryville Academy is located at 1658 W Grand Ave, Chicago, IL 60622. The listed phone number is (312) 491-3530.

What is Maryville Academy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

What insurance does Maryville Academy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Maryville Academy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maryville Academy was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.