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CHICAGO PSYCH THERAPY GROUP INC. NPI 1184165383


NPI Information

NPI: 1184165383
Provider Name: CHICAGO PSYCH THERAPY GROUP, INC.

Doing Business As: GULF COAST PSYCH THERAPY GROUP

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
828 DAVIS ST STE 213
EVANSTON, IL
ZIP 60201
Phone: (312) 781-2850
Get Directions

CHICAGO PSYCH THERAPY GROUP, INC. is a clinical psychologist in Evanston, IL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. CHICAGO PSYCH THERAPY GROUP, INC. NPI is 1184165383. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gulf Coast Psych Therapy Group.

The provider's business location address is:

828 DAVIS ST STE 213
EVANSTON, IL
ZIP 60201-420
Phone: (312) 781-2850
Fax: (847) 972-6445

The provider's authorized official is Terry Dornak .
The authorized official title is Owner and has the following contact phone number (312) 781-2850.

The enumeration date for this NPI number is 3/20/2017 and was last updated on 5/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2103TC0700XPsychologistClinicalNo
31041C0700XSocial WorkerClinicalNo
4225700000XMassage TherapistNo
5103TC0700XPsychologistClinical071009088ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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