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CHRISTINE GAGNON PHD
NPI 1205008406
Psychologist - Health Service in Chicago, IL

Active since March 27, 2008PECOS Enrolled
1030 N CLARK ST, CHICAGO, IL 60610(312) 238-7800(312) 238-7801 Get Directions Write a Review

NPPES record last updated: March 27, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Christine Gagnon Phd NPPES

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

CHRISTINE GAGNON PHD (NPI 1205008406) is an individual health service provider in Chicago, Illinois and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205008406
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameCHRISTINE GAGNONCredential: PHD
Location Address1030 N CLARK STChicago, IL 60610-5467
Mailing Address345 E Superior StChicago, IL 60611-2654 · (312) 238-1000
Phone(312) 238-7800
Fax(312) 238-7801
Sole ProprietorNo
Enumeration DateMarch 27, 2008
✔ NPI 1205008406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

1030 N CLARK ST, Chicago, IL 60610
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Other Identifiers 1

Medicare PINK26531IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christine Gagnon Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TAMI LYNN KRESS P.T.
Physical Therapist
1030 N CLARK ST
CHICAGO, IL 60610
Cook County (312) 238-7711
JEREMIAH YOO PT
Physical Therapist
1030 N CLARK ST, #500
CHICAGO, IL 60610
Cook County (312) 238-1000
CARYN FELDMAN PHD
Psychologist (Health Service)
1030 N CLARK ST, SUITE 320
CHICAGO, IL 60610
Cook County (312) 238-7800
REHABILITATION INSTITUTE OF CHICAGO
Rehabilitation Hospital
1030 N CLARK ST, SUITE 500
CHICAGO, IL 60610
Cook County (312) 238-7767
DR. DANA GARLAN RIEDERER DC
Chiropractor
1030 N CLARK ST, SUITE 610
CHICAGO, IL 60610
Cook County (312) 943-0680
DR. JAMES R HERRON MD
Internal Medicine
1030 N CLARK ST, STE 647
CHICAGO, IL 60610
Cook County (312) 291-9083
ANDREA LIEBERMAN, PSY.D., LLC
Psychologist (Clinical)
1030 N CLARK ST, SUITE 303
CHICAGO, IL 60610
Cook County (312) 772-5313
MEDICALLY SPEAKING, INC.
Clinic/Center (Health Service)
1030 N CLARK ST, SUITE 310
CHICAGO, IL 60610
Cook County (312) 544-0200

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 Christine Gagnon's NPI number?

The NPI number for Christine Gagnon is 1205008406. It was assigned to this individual provider in the NPPES registry on March 27, 2008.

Where is Christine Gagnon located?

Christine Gagnon practices at 1030 N Clark St, Chicago, IL 60610. The listed phone number is (312) 238-7800.

What is Christine Gagnon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Christine Gagnon enrolled in Medicare?

Yes. Christine Gagnon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christine Gagnon was last updated on March 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.