GAINES PSYCHOTHERAPY, PLLC
NPI 1679292551
Psychologist - Clinical in Evanston, IL

Active since August 24, 2022
1021 DODGE AVE APT D, EVANSTON, IL 60202(816) 419-1189 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2024, Aug 24, 2022 (2 updates tracked since 2022).

About Gaines Psychotherapy, Pllc NPPES

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

GAINES PSYCHOTHERAPY, PLLC (NPI 1679292551) is a healthcare organization registered as a clinical in Evanston, Illinois and active in the NPI registry since August 2022. The organization lists Ariel Kirch Gaines, Owner, as its authorized official.

NPPES Registry Identity

NPI1679292551
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameGAINES PSYCHOTHERAPY, PLLC
Location Address1021 DODGE AVE APT DEvanston, IL 60202-1051
Mailing Address1021 Dodge Ave Apt DEvanston, IL 60202-1051 · (816) 419-1189
Organization SubpartNo
Authorized OfficialAriel Kirch GainesOwner · (816) 419-1189
Enumeration DateAugust 24, 2022
Last NPPES UpdateFebruary 7, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
NPI 1679292551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
1021 DODGE AVE APT D, Evanston, IL 60202

Group Practice 1

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

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
1021 DODGE AVE APT D
EVANSTON, IL 60202

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 Gaines Psychotherapy, PLLC's NPI number?

The NPI number for Gaines Psychotherapy, PLLC is 1679292551. It was assigned to this organization in the NPPES registry on August 24, 2022.

Where is Gaines Psychotherapy, PLLC located?

Gaines Psychotherapy, PLLC is located at 1021 Dodge Ave Apt D, Evanston, IL 60202. The listed phone number is (816) 419-1189.

What is Gaines Psychotherapy, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Gaines Psychotherapy, PLLC was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.