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FAGAN PSYCHOTHERAPY PLLC
NPI 1104511104
Community/Behavioral Health in Evanston, IL

Active since April 06, 2023
2605 PRAIRIE AVE APT 18, EVANSTON, IL 60201(312) 385-9620 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fagan Psychotherapy Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAGAN PSYCHOTHERAPY PLLC (NPI 1104511104) is a healthcare organization registered as a community/behavioral health in Evanston, Illinois and active in the NPI registry since April 2023. The organization lists Brian Fagan, Owner, as its authorized official.

NPPES Registry Identity

NPI1104511104
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameFAGAN PSYCHOTHERAPY PLLC
Location Address2605 PRAIRIE AVE APT 18Evanston, IL 60201-1496
Mailing Address2605 Prairie Ave Apt 18Evanston, IL 60201-1496 · (312) 385-9620
Phone(312) 385-9620
Organization SubpartNo
Authorized OfficialBrian FaganOwner · (312) 385-9620
Enumeration DateApril 6, 2023
NPPES CertifiedApril 6, 2023
✔ NPI 1104511104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2605 PRAIRIE AVE APT 18, Evanston, IL 60201
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fagan Psychotherapy PLLC's NPI number?

The NPI number for Fagan Psychotherapy PLLC is 1104511104. It was assigned to this organization in the NPPES registry on April 6, 2023.

Where is Fagan Psychotherapy PLLC located?

Fagan Psychotherapy PLLC is located at 2605 Prairie Ave Apt 18, Evanston, IL 60201. The listed phone number is (312) 385-9620.

What is Fagan Psychotherapy PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Fagan Psychotherapy PLLC was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.