MARYVILLE ACADEMY (NPI# 1306873419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306873419 |
| Entity Type | Organization |
| Organization Name | MARYVILLE ACADEMY |
| Practice Address |
555 Wilson Lane Maryville Scott Nolan Center Des Plaines IL 60016-4729 |
| Mailing Address |
1150 N River Road Des Plaines IL 60016-1290 |
| Practice Telephone | 8477685461 |
| Practice Fax Number | 8477685478 |
| Mailing Telephone | 8472941999 |
| Mailing Fax Number | 8472942892 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2012-01-24 |
| Authorized Official Name | MR. NORMAN JOYCE (CFO) |
| Authorized Official Telephone | 8472941944 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366957292 | Maryville Academy | Clinic/Center | 1510 N Claremont Ave, Chicago, IL 60622-1710 | 2017-12-14 |
| 1487072781 | Maryville Academy | Clinic/Center | 1455 E Golf Rd Ste 210, Des Plaines, IL 60016-1254 | 2014-04-03 |
| 1508174749 | Maryville Academy | Community Based Residential Treatment Facility, Mental Illness | 1658 W Grand Ave, Chicago, IL 60622-6309 | 2010-09-22 |
| 1275771214 | Maryville Academy | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 951 W Bartlett Rd, Bartlett, IL 60103-4479 | 2009-01-29 |
| 1477700474 | Maryville Academy | Residential Treatment Facility, Emotionally Disturbed Children | 10102 Farm School Rd, Durand, IL 61024-9725 | 2008-08-20 |
| 1578720041 | Maryville Academy | Long Term Care Hospital | 4015 N Oak Park Ave Bldg B, Chicago, IL 60634-7197 | 2008-05-21 |
| 1578697835 | Maryville Academy | Community/Behavioral Health | 1150 N River Rd, Des Plaines, IL 60016-1214 | 2007-03-16 |
| 1821504788 | Maryville Academy | Clinic/Center | 1510 N Claremont Ave, Chicago, IL 60622-1710 | 2017-12-14 |
| 1487189445 | Maryville Academy | Clinic/Center | 951 W Bartlett Rd, Bartlett, IL 60103-4479 | 2017-04-27 |
| 1003341058 | Maryville Academy | Clinic/Center | 1658 W Grand Ave, Chicago, IL 60622-6309 | 2017-04-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARYVILLE ACADEMY | 1150 N River Rd, Des Plaines, IL 60016-1214 |
| Street Address |
555 WILSON LANE MARYVILLE SCOTT NOLAN CENTER |
| City | DES PLAINES |
| State | IL |
| Zip Code | 60016-4729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043702830 | Professional Healthcare Inc | Family Medicine | 960 Rand Rd Ste 224, Des Plaines, IL 60016 | 2018-06-06 |
| 1407367022 | Vcare Pharmacy Inc | Pharmacy | 380 E Nortwest Hwy, Suite 201, Des Plaines, IL 60016 | 2017-10-23 |
| 1649799610 | George N Hotousiotis | Pharmacist | 10 East Golf Road, Des Plaines, IL 60016 | 2017-09-11 |
| 1619494838 | Abdul M Shamsuddin | Physical Therapist | 2555 Suffield St, Des Plaines, IL 60016 | 2017-08-28 |
| 1063960482 | Rachel Kimbrough | Counselor | 100 N River Road, Des Plaines, IL 60016 | 2016-09-14 |
| 1902250178 | Perfect Storm Chiropractic, LLC | Chiropractor | 565 Concord Ln, Des Plaines, IL 60016 | 2016-04-14 |
| 1255796611 | Nektaria Goudis | Psychologist | 950 Lee Street, Des Plaines, IL 60016 | 2015-12-29 |
| 1831501352 | Gary R. Kuntz | Dentist | 1173 Algonquin Rd., Des Plaines, IL 60016 | 2014-06-02 |
| 1558773754 | Midwest Anesthesia and Pain Specialists, Sc | Pain Medicine | 9700 Golf Rd, Second Floor, Des Plaines, IL 60016 | 2014-05-22 |
| 1508282377 | Maciej Padowski | Emergency Medicine | 9500 Greenwood Dr, Des Plaines, IL 60016 | 2014-03-17 |
| Find all providers in zip 60016 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841850476 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 1400 E Touhy Ave # 300a, Des Plaines, IL 60018-3305 | 2019-06-17 |
| 1831759653 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 1400 E Touhy Ave # 300b, Des Plaines, IL 60018-3305 | 2019-06-14 |
| 1558391656 | Maryville Academy | Psychiatric Residential Treatment Facility | 555 Wilson Ln, Des Plaines, IL 60016-4729 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437649266 | Eating Recovery Center | Psychiatric Residential Treatment Facility | 1 E Erie St Ste 400, Chicago, IL 60611-2785 | 2018-05-17 |
| 1588039556 | Bianca Davis | Psychiatric Residential Treatment Facility | 18610 Morris Ave, Homewood, IL 60430-3628 | 2015-12-02 |
| 1992110217 | Insight Behavioral Health Centers | Psychiatric Residential Treatment Facility | 200 E Ohio St, B, Chicago, IL 60611-7269 | 2014-06-25 |
| 1639466915 | Bhc Streamwood Hospital Inc | Psychiatric Residential Treatment Facility | 1360 E Irving Park Rd, Streamwood, IL 60107-3202 | 2011-07-07 |
| 1164751913 | Gpr Solutions Sc | Psychiatric Residential Treatment Facility | 554 Bovidae Cir, Naperville, IL 60565-6184 | 2009-12-08 |
| 1932330446 | Jubilee Health Inc | Psychiatric Residential Treatment Facility | 1016 Victoria Ln, Glendale Heights, IL 60139-4508 | 2009-07-31 |
| 1144427378 | Colin M Hayes | Psychiatric Residential Treatment Facility | 555 Fairview Dr, Office, Rochelle, IL 61068-2310 | 2007-06-29 |
| 1972559383 | Children's Home & Aid Society of America | Psychiatric Residential Treatment Facility | 1101 Washington St, Evanston, IL 60202-1619 | 2006-05-26 |
| 1417906322 | The Baby Fold | Psychiatric Residential Treatment Facility | 612 Oglesby Ave, Normal, IL 61761 | 2006-05-08 |
| 1609405497 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 7450 N Sheridan Rd, Chicago, IL 60626-1817 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
| City | DES PLAINES |
| Zip Code | 60016 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.