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MARYVILLE ACADEMY
NPI 1114861259
Community/Behavioral Health in Chicago, IL

Active since April 17, 2026
4909 W DIVISION ST STE 407, CHICAGO, IL 60651(847) 390-3004 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Maryville Academy NPPES

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

MARYVILLE ACADEMY (NPI 1114861259) is a healthcare organization registered as a community/behavioral health in Chicago, Illinois and active in the NPI registry since April 2026. The organization lists Frederick Smith, Administrator Of Community Services, as its authorized official.

NPPES Registry Identity

NPI1114861259
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMARYVILLE ACADEMY
Location Address4909 W DIVISION ST STE 407Chicago, IL 60651-3161
Mailing Address4909 W Division St Ste 407Chicago, IL 60651-3161 · (847) 390-3004
Phone(847) 390-3004
Organization SubpartNo
Authorized OfficialFrederick SmithAdministrator Of Community Services · (847) 390-3004
Enumeration DateApril 17, 2026
NPPES CertifiedApril 17, 2026
✔ NPI 1114861259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4909 W DIVISION ST STE 407, Chicago, IL 60651
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Other Providers at the Same Location NPPES 3

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

MARYVILLE ACADEMY
Clinic/Center (Mental Health (Including Community Mental Health Center))
4909 W DIVISION ST STE 407
CHICAGO, IL 60651
Cook County (847) 390-3004
MARIA POST
Social Worker (Clinical)
4909 W DIVISION ST STE 407
CHICAGO, IL 60651
Cook County (312) 419-3510
MARYVILLE ACADEMY
Case Management
4909 W DIVISION ST STE 407
CHICAGO, IL 60651
Cook County (847) 390-3004

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 1114861259. It was assigned to this organization in the NPPES registry on April 17, 2026.

Where is Maryville Academy located?

Maryville Academy is located at 4909 W Division St Ste 407, Chicago, IL 60651. The listed phone number is (847) 390-3004.

What is Maryville Academy's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Maryville Academy was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.