What is Maryville Academy's NPI number?

Maryville Academy's National Provider Identifier (NPI) is 1003341058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Maryville Academy?

Maryville Academy is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).

Where is Maryville Academy located?

Maryville Academy's practice location on file with NPPES is 1658 W Grand Ave, Chicago, IL 60622-6309.

What is Maryville Academy's phone number?

The practice phone number listed in the NPPES registry for Maryville Academy is (312) 491-3530.

Who is the authorized official for Maryville Academy?

The authorized official listed on Maryville Academy's NPPES record is Frederick Smith, Administrator of Community Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Maryville Academy's NPI active?

Yes — Maryville Academy's NPI (1003341058) is active in the NPPES registry as of the last update on 2025-06-11.

OrganizationActive

Maryville Academy

NPI 1003341058 · Substance Use Disorder Rehabilitation Clinic/Center · Chicago, IL

Maryville Academy is a Substance Use Disorder Rehabilitation Clinic/Center organization in Chicago, IL (NPI 1003341058).

Provider details

NPI number: 1003341058
Entity type: Organization
Primary specialty: Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Frederick Smith, Administrator of Community Services(847) 390-3004

Practice location

1658 W Grand Ave

Chicago, IL 60622-6309

Phone: (312) 491-3530

Street-level locationGet directions

More IL providers

Mailing address

1658 W Grand Ave

Chicago, IL 60622-6309

Specialties & taxonomies

Substance Use Disorder Rehabilitation Clinic/CenterPrimary261QR0405X
Ambulatory Health Care Facilities

Other names (DBA / former)

Doing business as: Family Behavioral Health Clinic
Doing business as: Family Behavioral Health Clinic

Profile Score

Established profile(71/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2017-04-27
Last updated: 2025-06-11
Certified: 2025-06-11

Frequently asked questions

What is Maryville Academy's NPI number?: Maryville Academy's National Provider Identifier (NPI) is 1003341058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Maryville Academy?: Maryville Academy is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
Where is Maryville Academy located?: Maryville Academy's practice location on file with NPPES is 1658 W Grand Ave, Chicago, IL 60622-6309.
What is Maryville Academy's phone number?: The practice phone number listed in the NPPES registry for Maryville Academy is (312) 491-3530.
Who is the authorized official for Maryville Academy?: The authorized official listed on Maryville Academy's NPPES record is Frederick Smith, Administrator of Community Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Maryville Academy's NPI active?: Yes — Maryville Academy's NPI (1003341058) is active in the NPPES registry as of the last update on 2025-06-11.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions