PROTEAN ARCHETYPES LLC
NPI 1316712656
Psychologist in Naperville, IL

Active since November 16, 2023
29 S WEBSTER ST STE 290D, NAPERVILLE, IL 60540(630) 632-5069 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2024, Nov 16, 2023 (2 updates tracked since 2023).

About Protean Archetypes Llc NPPES

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

PROTEAN ARCHETYPES LLC (NPI 1316712656) is a healthcare organization registered as a psychologist in Naperville, Illinois and active in the NPI registry since November 2023. The organization maintains a secondary practice location in Willowbrook and lists Mary Holland, Licensed Clinical Psychologist/owne, as its authorized official.

NPPES Registry Identity

NPI1316712656
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePROTEAN ARCHETYPES LLC
Location Address29 S WEBSTER ST STE 290DNaperville, IL 60540-5356
Mailing Address8928 Middleton RdDarien, IL 60561-8441 · (630) 632-5069
Organization SubpartNo
Authorized OfficialMary HollandLicensed Clinical Psychologist/owne · (630) 632-5069
Enumeration DateNovember 16, 2023
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
NPI 1316712656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
29 S WEBSTER ST STE 290D, Naperville, IL 60540

Other Names 1

Other NameProtean Archetypes Llc

Secondary Practice Location 1

Location 16401 Clarendon Hills Rd Apt 305Willowbrook, IL 60527-2119 · Phone (630) 632-5069

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

Other Providers at the Same Location NPPES

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

Counselor (Professional)
29 S WEBSTER ST STE 290D
NAPERVILLE, IL 60540

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 Protean Archetypes LLC's NPI number?

The NPI number for Protean Archetypes LLC is 1316712656. It was assigned to this organization in the NPPES registry on November 16, 2023.

Where is Protean Archetypes LLC located?

Protean Archetypes LLC is located at 29 S Webster St Ste 290D, Naperville, IL 60540. The listed phone number is (630) 632-5069.

What is Protean Archetypes LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Protean Archetypes LLC was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.