Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fagan Psychotherapy PLLC

Organization Community/Behavioral Health Agency · NPI 1104511104

Fagan Psychotherapy PLLC is a Community/Behavioral Health Agency in Evanston, Illinois. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2605 Prairie Ave Apt 18
Evanston, IL 60201-1496
Phone: (312) 385-9620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1104511104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Fagan — Owner · (312) 385-9620
NPI enumeratedApril 6, 2023
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023
Mailing address2605 Prairie Ave Apt 18, Evanston, IL 60201-1496

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