Organization
MODERN ME PSYCHOLOGY PC
Active
Other names
Peak Performance Biofeedback
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAHRAIN D TAVOLACCI PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(630) 803-3524
Entity
Organization
Contact information
Practice address
390 E DEVON AVE STE 201, ROSELLE, IL 60172-1763
(630) 803-3524
Mailing address
223 W COUNTRY DR, BARTLETT, IL 60103-4674
(630) 803-3524
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
102L00000X
Psychoanalyst
—
—
103G00000X
Clinical Neuropsychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
Other
Enumeration date
01/13/2020
Last updated
08/18/2025
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