MODERN PSYCH AND WELLNESS PLLC
NPI 1104674621
Psychologist in Taylor, MI

Active since May 09, 2024
21415 GODDARD RD, TAYLOR, MI 48180(313) 737-0023 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2025, Sep 30, 2024, May 17, 2024 and 1 more (4 updates tracked since 2024).

About Modern Psych And Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN PSYCH AND WELLNESS PLLC (NPI 1104674621) is a healthcare organization registered as a psychologist in Taylor, Michigan and active in the NPI registry since May 2024. The organization lists Rana Succurro, Owner, as its authorized official.

NPPES Registry Identity

NPI1104674621
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMODERN PSYCH AND WELLNESS PLLC
Location Address21415 GODDARD RDTaylor, MI 48180-4247
Mailing Address21415 Goddard RdTaylor, MI 48180-4247
Organization SubpartNo
Authorized OfficialRana SuccurroOwner · (248) 667-8014
Enumeration DateMay 9, 2024
Last NPPES UpdateMarch 18, 20254 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
NPI 1104674621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
21415 GODDARD RD, Taylor, MI 48180

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
21415 GODDARD RD
TAYLOR, MI 48180
Nurse Practitioner (Psychiatric/Mental Health)
21415 GODDARD RD
TAYLOR, MI 48180
Prosthetic/Orthotic Supplier
21415 GODDARD RD
TAYLOR, MI 48180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Psych And Wellness PLLC's NPI number?

The NPI number for Modern Psych And Wellness PLLC is 1104674621. It was assigned to this organization in the NPPES registry on May 9, 2024.

Where is Modern Psych And Wellness PLLC located?

Modern Psych And Wellness PLLC is located at 21415 Goddard Rd, Taylor, MI 48180. The listed phone number is (313) 737-0023.

What is Modern Psych And Wellness PLLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

What insurance does Modern Psych And Wellness PLLC accept?

Health plans from Blue Care Network of Michigan list Modern Psych And Wellness PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Modern Psych And Wellness PLLC was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.