MARYVILLE ACADEMY – NPI #1427710722
Clinic/Center
MARYVILLE ACADEMY is an AHC clinic located in BERWYN, IL. NPPES has assigned the NPI number 1427710722 to MARYVILLE ACADEMY on October 13, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)
The NPI profile was previously updated about 4 years ago on Jul 19, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARYVILLE ACADEMY below.
NPI Profile for
MARYVILLE ACADEMY
(more than 4 years ago)
1431 EUCLID AVENUE
BERWYN, IL 60402 Phone: (630) 736-7480 Fax:
DES PLAINES, IL 60016-1214 Phone: (847) 294-1910 Fax:
DIRECTOR OF BUSINESS DEVELOPMENT
Phone: (847) 294-1910
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM0801X - Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary) |
||
| 320800000X - Community Based Residential Treatment Facility, Mental Illness |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.