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FAMILY BEHAVIORAL HEALTH CLINIC
NPI 1902353782
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Active since September 08, 2016
1658 W GRAND AVE, CHICAGO, IL 60622(312) 491-3530 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2022, Jul 8, 2022, May 12, 2021 (3 updates tracked since 2021).

About Family Behavioral Health Clinic NPPES

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

FAMILY BEHAVIORAL HEALTH CLINIC (NPI 1902353782) is a healthcare organization registered as a mental health (including community mental health center) in Chicago, Illinois and active in the NPI registry since September 2016. The organization lists Nancy Z Woulfe, Director Of Business Development, as its authorized official.

NPPES Registry Identity

NPI1902353782
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMARYVILLE ACADEMY
Location Address1658 W GRAND AVEChicago, IL 60622-6309
Mailing Address1150 N River RdDes Plaines, IL 60016-1214 · (847) 294-1999
Phone(312) 491-3530
Organization SubpartNo
Authorized OfficialNancy Z WoulfeDirector Of Business Development · (847) 294-1910
Enumeration DateSeptember 8, 2016
Last NPPES UpdateJuly 11, 20223 updates tracked since enumeration
NPPES CertifiedJuly 11, 2022
✔ NPI 1902353782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
1658 W GRAND AVE, Chicago, IL 60622
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Other Names 1

Doing Business AsFamily Behavioral Health Clinic

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

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 1902353782. It was assigned to this organization in the NPPES registry on September 8, 2016. 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 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 July 11, 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.