MODERN ME PSYCHOLOGY PC NPI 1841830338

NPI Information

  • NPI: 1841830338
  • Provider Name: MODERN ME PSYCHOLOGY PC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • :
  • Address: 390 E DEVON AVE STE 201
    ROSELLE, IL
    ZIP 60172
  • Phone: (630) 803-3524

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NPI Details

MODERN ME PSYCHOLOGY PC is a clinical psychologist in Roselle, IL. The provider is 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. MODERN ME PSYCHOLOGY PC NPI is 1841830338. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

390 E DEVON AVE STE 201
ROSELLE, IL
ZIP 60172-763
Phone: (630) 803-3524

The provider's authorized official is Nahrain D Tavolacci .
The authorized official title is Licensed Clinical Psychologist and has the following contact phone number (630) 803-3524.

The enumeration date for this NPI number is 1/13/2020 and was last updated on 8/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101YP1600XCounselorPastoralNo
3101YP2500XCounselorProfessionalNo
4102L00000XPsychoanalystNo
5103G00000XClinical NeuropsychologistNo
6103TA0700XPsychologistAdult Development & AgingNo
7103TB0200XPsychologistCognitive & BehavioralNo
8103TC2200XPsychologistClinical Child & AdolescentNo
9103TH0004XPsychologistHealthNo
10103TP2701XPsychologistGroup PsychotherapyNo
11106E00000XAssistant Behavior AnalystNo
12106S00000XBehavior TechnicianNo
132084N0600XPsychiatry & NeurologyClinical NeurophysiologyNo
14103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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