Ariel Kirch Gaines, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071010717 Issued in IL

Practice address

1021 Dodge Ave Apt D
Evanston, IL 60202-1051

Phone

(816) 419-1189

NPI assigned

Jun 16, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gaines Psychotherapy, PLLC

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1679292551
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1447828397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 DODGE AVE APT D",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021051",
            "telephone_number": "816-419-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 DODGE AVE APT D",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021051",
            "telephone_number": "816-419-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "ARIEL",
        "middle_name": "KIRCH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Gabriel, MD
• Fangzhou Gai
• Vishnu Das Gaiha, M.D.
• Brandi A Gail, RD
• Gaines Psychotherapy, PLLC
• Chaitanya Gajjela, MD
• Eileen Castillo Gajo, MD
• Raquel Galan, LCPC
• Stacey B. Galanis, D.D.S.
• Paul C Gale, MD

• Clinical Psychologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.