MARYVILLE ACADEMY
NPI 1619811759
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Q: What is Maryville Academy's NPI number?

The NPI number for Maryville Academy is 1619811759. It was assigned to this organization in the NPPES registry on April 17, 2026.

Q: What is Maryville Academy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Q: 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 4 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.

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: August 23, 2026.

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About Maryville Academy NPPES

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

MARYVILLE ACADEMY (NPI 1619811759) is a healthcare organization registered as a mental health (including community mental health center) 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

NPI1619811759

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameMARYVILLE ACADEMY

Location Address4909 W DIVISION ST STE 407Chicago, IL 60651-3161

Mailing Address4909 W Division St Ste 407Chicago, IL 60651-3161

Phone(847) 390-3004

Organization SubpartNo

Authorized OfficialFrederick SmithAdministrator Of Community Services · (847) 390-3004

Enumeration DateApril 17, 2026

NPPES CertifiedApril 17, 2026

✔ NPI 1619811759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

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

Community/Behavioral Health

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 1619811759. 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 Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

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 4 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.