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Chicago Psych Therapy Group, Inc.

Clinical Psychologist in Evanston, IL · enumerated 2017 · authorized official Terry Dornak, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184165383

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Registry record

Entity type Organization (Type 2)
Legal business name Chicago Psych Therapy Group, Inc.
Other name <Unavail>
Practice address 1603 Orrington Ave, Evanston, IL, 60201
Fax (847) 972-6445
Enumeration date Mar 20, 2017
Last updated in NPPES Jan 27, 2026

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 071009088 (IL) Primary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name Terry Dornak
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-01-27. Verify at npiregistry.cms.hhs.gov.
Where is Chicago Psych Therapy Group, Inc. located?
The practice location on file with NPPES is in Evanston, IL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-27.