CHICAGO PSYCH THERAPY GROUP, INC.
NPI 1184165383
Psychologist - Clinical in Evanston, IL

Active since March 20, 2017
1603 ORRINGTON AVE, EVANSTON, IL 60201(312) 781-2850(847) 972-6445 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 27, 2026, May 15, 2023, Jul 26, 2021 and 1 more (4 updates tracked since 2017).

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

NPI1184165383
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCHICAGO PSYCH THERAPY GROUP, INC.
Location Address1603 ORRINGTON AVEEvanston, IL 60201-3841
Mailing Address8941 Marmora AveMorton Grove, IL 60053-2448 · (312) 781-2850 · Fax (847) 972-6445
Fax(847) 972-6445
Organization SubpartNo
Authorized OfficialTerry DornakOwner · (312) 781-2850
Enumeration DateMarch 20, 2017
Last NPPES UpdateJanuary 27, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
NPI 1184165383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IL · 071009088
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMassage TherapistTaxonomy 225700000X
1603 ORRINGTON AVE, Evanston, IL 60201

Other Names 1

Doing Business AsGulf Coast Psych Therapy Group

Secondary Practice Location 1

Location 16300 Corporate Ct Ste 103Fort Myers, FL 33919-3513 · Phone (312) 781-2850

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
1603 ORRINGTON AVE
EVANSTON, IL 60201
Psychiatry & Neurology (Psychiatry)
1603 ORRINGTON AVE, SUITE 600
EVANSTON, IL 60201
Physical Medicine & Rehabilitation
1603 ORRINGTON AVE, STE 600
EVANSTON, IL 60201
Counselor (Mental Health)
1603 ORRINGTON AVE
EVANSTON, IL 60201
Counselor (Mental Health)
1603 ORRINGTON AVE
EVANSTON, IL 60201
Psychologist (Clinical)
1603 ORRINGTON AVE
EVANSTON, IL 60201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184165383, enumerated as an "organization" on March 20, 2017.

The provider is located at 1603 ORRINGTON AVE EVANSTON, IL 60201 and the phone number is (312) 781-2850.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.