Dr Nahrain Tavolacci, PSYD | |
390 E Devon Ave Ste 201, Roselle, IL 60172-1763 | |
(630) 803-3524 | |
Not Available |
Full Name | Dr Nahrain Tavolacci |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 7 Years |
Location | 390 E Devon Ave Ste 201, Roselle, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750835328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | 071010126 (Illinois) | Secondary |
103TC0700X | Psychologist - Clinical | 071010126 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Modern Me Psychology Inc | 8820427966 | 2 |
Entity Name | Modern Me Psychology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841830338 PECOS PAC ID: 8820427966 Enrollment ID: O20200410001413 |
Mailing Address | Practice Location Address |
---|---|
Dr Nahrain Tavolacci, PSYD 390 E. Devon Avenue, Ste 201, Roselle, IL 60172 Ph: (630) 358-9821 | Dr Nahrain Tavolacci, PSYD 390 E Devon Ave Ste 201, Roselle, IL 60172-1763 Ph: (630) 803-3524 |
Angelina Coleman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 Medinah Rd, Roselle, IL 60172 Phone: 630-295-5348 | |
Joan M Hilby, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 225 E Irving Park Rd, Roselle, IL 60172 Phone: 630-924-5401 Fax: 630-924-5411 | |
Mrs. Jennifer Marie Menold, S.S.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 W Bryn Mawr Ave, Roselle, IL 60172 Phone: 630-295-5299 |