OrganizationActive
Fagan Psychotherapy PLLC
NPI 1104511104 · Community/Behavioral Health Agency · Evanston, IL
Provider details
- NPI number
- 1104511104
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Brian Fagan, Owner(312) 385-9620
Specialties & taxonomies
Agencies
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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.
Practice location
2605 Prairie Ave Apt 18
Evanston, IL 60201-1496
Phone: (312) 385-9620
Street-level locationGet directions
Mailing address
2605 Prairie Ave Apt 18
Evanston, IL 60201-1496
Registry dates
- Enumerated
- 2023-04-06
- Last updated
- 2023-04-06
- Certified
- 2023-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.