DR. NAHRAIN TAVOLACCI PSYD
NPI 1750835328
Psychologist - Clinical in Roselle, IL
About Dr. Nahrain Tavolacci Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NAHRAIN TAVOLACCI PSYD (NPI 1750835328) is an individual clinical provider in Roselle, Illinois, licensed in Illinois (071010126) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Nahrain Tavolacci Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Nahrain Tavolacci reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Roselle, IL 60172
- Reassigned Medicare billing, Illinois enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60172 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nahrain Tavolacci's NPI number?
The NPI number for Nahrain Tavolacci is 1750835328. It was assigned to this individual provider in the NPPES registry on August 11, 2016.
Where is Nahrain Tavolacci located?
Nahrain Tavolacci practices at 390 E Devon Ave Ste 201, Roselle, IL 60172. The listed phone number is (630) 803-3524.
What is Nahrain Tavolacci's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Nahrain Tavolacci enrolled in Medicare?
Yes. Nahrain Tavolacci is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Nahrain Tavolacci's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nahrain Tavolacci reassigns Medicare benefits to Modern Me Psychology PC (Roselle, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nahrain Tavolacci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nahrain Tavolacci was last updated on April 9, 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.
# Dr. Nahrain Tavolacci, PSYD · NPI 1750835328
Clinical provider in Roselle, Illinois. Individual provider, active in the CMS NPPES registry since August 11, 2016.
## Identity
- **NPI:** 1750835328 (Entity type: Individual)
- **Enumerated:** August 11, 2016
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 071010126 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 390 E DEVON AVE STE 201, Roselle, IL 60172-1763
- **Phone:** (630) 803-3524
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Modern Me Psychology PC (NPI 1841830338, Roselle, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1750835328) · Data from the CMS NPPES public registry.