CHICAGO PSYCH THERAPY GROUP, INC.
NPI 1184165383
Psychologist - Clinical in Evanston, IL
About Chicago Psych Therapy Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHICAGO PSYCH THERAPY GROUP, INC. (NPI 1184165383), doing business as Gulf Coast Psych Therapy Group, is a healthcare organization registered as a clinical in Evanston, Illinois and active in the NPI registry since March 2017. The organization maintains a secondary practice location in Fort Myers and lists Terry Dornak, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Secondary Practice Location 1
Group Practice 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chicago Psych Therapy Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Chicago Psych Therapy Group, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Chicago Psych Therapy Group, Inc.'s NPI number?
The NPI number for Chicago Psych Therapy Group, Inc. is 1184165383. It was assigned to this organization in the NPPES registry on March 20, 2017. The provider is doing business as Gulf Coast Psych Therapy Group.
Where is Chicago Psych Therapy Group, Inc. located?
Chicago Psych Therapy Group, Inc. is located at 1603 Orrington Ave, Evanston, IL 60201. The listed phone number is (312) 781-2850.
What is Chicago Psych Therapy Group, Inc.'s specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Chicago Psych Therapy Group, Inc. enrolled in Medicare?
Yes. Chicago Psych Therapy Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chicago Psych Therapy Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Chicago Psych Therapy Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Chicago Psych Therapy Group, Inc. accept?
Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Chicago Psych Therapy Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Chicago Psych Therapy Group, Inc. was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Chicago Psych Therapy Group, Inc. · NPI 1184165383
Clinical organization in Evanston, Illinois. Organization record, active in the CMS NPPES registry since March 20, 2017.
## Identity
- **NPI:** 1184165383 (Entity type: Organization)
- **Enumerated:** March 20, 2017
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Also known as:** Gulf Coast Psych Therapy Group (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Terry Dornak, OWNER
## Practice location
- **Address:** 1603 ORRINGTON AVE, Evanston, IL 60201-3841
- **Phone:** (312) 781-2850 · **Fax:** (847) 972-6445
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Clinical Psychologist) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1184165383) · Data from the CMS NPPES public registry.