OrganizationActive
Protean Archetypes LLC
NPI 1316712656 · Psychologist · Naperville, IL
Provider details
- NPI number
- 1316712656
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mary Holland, Licensed Clinical Psychologist/Owne(630) 632-5069
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
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
2 documented practice locations
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
29 S Webster St Ste 290d
Naperville, IL 60540-5356
Phone: (630) 632-5069
Street-level locationGet directions
Mailing address
8928 Middleton Rd
Darien, IL 60561-8441
Other names (DBA / former)
- Other name
- Protean Archetypes LLC
- Other name
- Protean Archetypes LLC
Additional practice locations (1)
- 6401 Clarendon Hills Rd Apt 305Willowbrook, IL 60527-2119Phone: (630) 632-5069
Registry dates
- Enumerated
- 2023-11-16
- Last updated
- 2024-04-30
- Certified
- 2024-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.