IndividualActive
Marc Fagan, PSY.D.
NPI 1730626011 · Psychologist · Chicago, IL
Marc Fagan, PSY.D. is a Psychologist provider in Chicago, IL (NPI 1730626011).
Provider details
- NPI number
- 1730626011
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 071.006654 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
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
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
4101 N Ravenswood Ave.
Chicago, IL 60613
Phone: (773) 572-5402
Street-level locationGet directions
Mailing address
1335 Deerfield Rd
Deerfield, IL 60015
Registry dates
- Enumerated
- 2017-01-25
- Last updated
- 2017-01-25
Frequently asked questions
- What is Marc Fagan's NPI number?
- Marc Fagan's National Provider Identifier (NPI) is 1730626011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marc Fagan's specialty?
- Marc Fagan is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Marc Fagan located?
- Marc Fagan's practice location on file with NPPES is 4101 N Ravenswood Ave., Chicago, IL 60613.
- What is Marc Fagan's phone number?
- The practice phone number listed in the NPPES registry for Marc Fagan is (773) 572-5402.
- Is Marc Fagan's NPI active?
- Yes — Marc Fagan's NPI (1730626011) is active in the NPPES registry as of the last update on 2017-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.