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

Gaines Psychotherapy, PLLC

Organization Clinical Psychologist · NPI 1679292551

Gaines Psychotherapy, PLLC is a Clinical Psychologist in Evanston, Illinois. Registered with an NPI since 2022.

In the registry since
2022
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

1021 Dodge Ave Apt D
Evanston, IL 60202-1051
Phone: (816) 419-1189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1679292551
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ariel Gaines — Owner · (816) 419-1189
NPI enumeratedAugust 24, 2022
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024
Mailing address1021 Dodge Ave Apt D, Evanston, IL 60202-1051

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