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ST. MARTIN DE PORRIS
NPI 1548579790
Community Based Residential Treatment Facility, Mental Illness in Des Plaines, IL

Active since October 05, 2010
1150 N RIVER RD, DES PLAINES, IL 60016(847) 294-1999(847) 294-2892 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Martin De Porris NPPES

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

ST. MARTIN DE PORRIS (NPI 1548579790) is a healthcare organization registered as a community based residential treatment facility, mental illness in Des Plaines, Illinois and active in the NPI registry since October 2010. The organization lists Nancy Z Woulfe, Director Of Business Development, as its authorized official.

NPPES Registry Identity

NPI1548579790
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMARYVILLE ACADEMY
Location Address1150 N RIVER RDDes Plaines, IL 60016-1214
Mailing Address1150 N River RdDes Plaines, IL 60016-1214 · (847) 294-1999 · Fax (847) 294-2892
Phone(847) 294-1999
Fax(847) 294-2892
Organization SubpartNo
Authorized OfficialNancy Z WoulfeDirector Of Business Development · (847) 294-1910
Enumeration DateOctober 5, 2010
Last NPPES UpdateJuly 8, 2022
NPPES CertifiedJuly 8, 2022
✔ NPI 1548579790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1150 N RIVER RD, Des Plaines, IL 60016
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Other Names 1

Other NameSt. Martin De Porris

Other Providers at the Same Location NPPES 8

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

MARYVILLE ACADEMY
Residential Treatment Facility, Emotionally Disturbed Children
1150 N RIVER RD
DES PLAINES, IL 60016
Cook County (847) 294-1999
MICHAEL JAMES SHANAHAN
Counselor
1150 N RIVER RD
DES PLAINES, IL 60016
Cook County (847) 294-1999
MARYVILLE ACADEMY
Community/Behavioral Health
1150 N RIVER RD
DES PLAINES, IL 60016
Cook County (847) 894-9514
MARYVILLE ACADEMY
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1150 N RIVER RD
DES PLAINES, IL 60016
Cook County (847) 294-1826
MR. MICHAEL STEVEN KLEMM M.A., LPC
Counselor (Mental Health)
1150 N RIVER RD, SUITE 100 QUIGLEY
DES PLAINES, IL 60016
Cook County (847) 391-8037
ANDREW BOYD MORRISON LSW
Social Worker
1150 N RIVER RD
DES PLAINES, IL 60016
Cook County (847) 391-8000
MARYVILLE ACADEMY
Clinic/Center (Mental Health (Including Community Mental Health Center))
1150 N RIVER RD
DES PLAINES, IL 60016
Cook County (847) 294-1999
BERNARD J BECKWITH PSY.D.
Psychologist (Clinical)
1150 N RIVER RD, CAMELOT DES PLAINES, QUIGLEY 100
DES PLAINES, IL 60016
Cook County (847) 391-8000

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 1548579790. It was assigned to this organization in the NPPES registry on October 5, 2010. The provider is also known as St. Martin De Porris.

Where is Maryville Academy located?

Maryville Academy is located at 1150 N River Rd, Des Plaines, IL 60016. The listed phone number is (847) 294-1999.

What is Maryville Academy's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Maryville Academy was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.