NPIMap

Organization Active NPI

Modify, P.C.

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1457479503
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071005399 Issued in IL
Legal business name
MODIFY, P.C.
Practice address
2244 95TH St Ste 301
Naperville, IL 60564-8118
Phone
(630) 753-9800
Fax
(630) 753-9798
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Mary Busch, PH.D., MSCPNPI 1235325978
Title
Owner
Phone
(630) 753-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071005399 IL Primary
Prescribing (Medical) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP0016X

Addresses

Primary practice location

2244 95TH St Ste 301
Naperville, IL 60564-8118

Mailing address

2244 95TH St Ste 301
Naperville, IL 60564-8118
Phone (630) 753-9800

Other identifiers 1

IdentifierTypeStateIssuer
09923724OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Busch & Lawm Clinical Services, P.C. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170515001583 IL Part B Supplier - Clinic/Group Practice 8628355963 Receives reassigned benefits from 8 practitioners
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

2244 95th St
Ste 301
Naperville, IL 60564
Phone (630) 753-9800

2272 95th St
Ste 305
Naperville, IL 60564
Phone (630) 753-9800

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1457479503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 95TH ST STE 301",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648118",
            "telephone_number": "630-753-9800",
            "fax_number": "630-753-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 95TH ST STE 301",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648118",
            "telephone_number": "630-753-9800",
            "fax_number": "630-753-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODIFY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-753-9800",
        "authorized_official_credential": "PH.D., MSCP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005399",
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09923724",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Busch & Lawm Clinical Services, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.