Modern Psych and Wellness PLLC
NPI 1104674621 · Psychologist · Taylor, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Modern Psych and Wellness PLLC is a Psychologist organization in Taylor, MI (NPI 1104674621).
Provider details
- NPI number
- 1104674621
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Rana Succurro, Owner(248) 667-8014
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-05-09
- Last updated
- 2025-03-18
- Certified
- 2025-03-18
Frequently asked questions
- What is Modern Psych and Wellness PLLC's NPI number?
- Modern Psych and Wellness PLLC's National Provider Identifier (NPI) is 1104674621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Psych and Wellness PLLC?
- Modern Psych and Wellness PLLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Modern Psych and Wellness PLLC located?
- Modern Psych and Wellness PLLC's practice location on file with NPPES is 21415 Goddard Rd, Taylor, MI 48180-4247.
- What is Modern Psych and Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Modern Psych and Wellness PLLC is (313) 737-0023.
- Does Modern Psych and Wellness PLLC accept Medicare?
- Modern Psych and Wellness PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Modern Psych and Wellness PLLC?
- The authorized official listed on Modern Psych and Wellness PLLC's NPPES record is Rana Succurro, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Psych and Wellness PLLC's NPI active?
- Yes — Modern Psych and Wellness PLLC's NPI (1104674621) is active in the NPPES registry as of the last update on 2025-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.