Chicago Psych Therapy Group, Inc.
NPI 1184165383 · Clinical Psychologist · Evanston, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Chicago Psych Therapy Group, Inc. is a Clinical Psychologist organization in Evanston, IL (NPI 1184165383).
Provider details
- NPI number
- 1184165383
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Terry Dornak, Owner(312) 781-2850
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
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
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Gulf Coast Psych Therapy Group
- Doing business as
- Gulf Coast Psych Therapy Group
Additional practice locations (1)
- 6300 Corporate Ct Ste 103Fort Myers, FL 33919-3513Phone: (312) 781-2850
Registry dates
- Enumerated
- 2017-03-20
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Frequently asked questions
- What is Chicago Psych Therapy Group, Inc.'s NPI number?
- Chicago Psych Therapy Group, Inc.'s National Provider Identifier (NPI) is 1184165383, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chicago Psych Therapy Group, Inc.?
- Chicago Psych Therapy Group, Inc. is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Chicago Psych Therapy Group, Inc. located?
- Chicago Psych Therapy Group, Inc.'s practice location on file with NPPES is 1603 Orrington Ave, Evanston, IL 60201-3841.
- What is Chicago Psych Therapy Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Chicago Psych Therapy Group, Inc. is (312) 781-2850.
- Does Chicago Psych Therapy Group, Inc. accept Medicare?
- Chicago Psych Therapy Group, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Chicago Psych Therapy Group, Inc.?
- The authorized official listed on Chicago Psych Therapy Group, Inc.'s NPPES record is Terry Dornak, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chicago Psych Therapy Group, Inc.'s NPI active?
- Yes — Chicago Psych Therapy Group, Inc.'s NPI (1184165383) is active in the NPPES registry as of the last update on 2026-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.