Organization · Type 2 NPI

Modify, P.c.

Clinical Psychologist · Naperville, IL

NPI number 1457479503 Active

Practice location

2244 95th St Ste 301
Naperville, IL 60564-8118

Fax (630) 753-9798

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Psychologist Primary 103TC0700X071005399 (IL)
Prescribing (Medical) Psychologist 103TP0016XNone listed

Clinical Psychologist: 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 discip…

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About NPI 1457479503

Modify, P.c.'s National Provider Identifier is 1457479503, issued on Mar 27, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Naperville, IL. The record was last updated on May 7, 2026.