Christine Reese, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20041757A Issued in IN

Practice address

12247 S Racine Ave
Calumet Park, IL 60643-5401

Phone

(312) 687-0198

NPI assigned

Jul 26, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 4

Other names 1

• Dr. Christine Lang Applewhite Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A.S.a.P. Roadside Assistance, LLC

  dba A.S.A.P. Roadside Assistance

  • Driver
  • Calumet Park, IL
  • NPI 1205421062

  Multi-Specialty

  NPD
• Sanctuary Community Counseling and Resources, NFP

  • Clinical Psychologist
  • Calumet Park, IL
  • NPI 1790310159
  NPD
• Sanctuary Counseling, LLC

  • Clinical Psychologist
  • NPI 1366075566
  NPD

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637452800000",
    "number": "1275057705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18125 ROY ST UNIT 402",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604386628",
            "telephone_number": "219-595-5964",
            "fax_number": "312-842-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12247 S RACINE AVE",
            "city": "CALUMET PARK",
            "state": "IL",
            "postal_code": "606435401",
            "telephone_number": "312-687-0198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4455 S Washtenaw Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606321902",
            "country_code": "US",
            "telephone_number": "312-956-8946 x2256",
            "fax_number": "312-842-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041757A",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912992819",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300056709",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366075566",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200136790",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.sanctuarycounselingllc.net",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "18125 Roy St Unit 402",
            "city": "Lansing",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604386628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "LANG APPLEWHITE",
            "prefix": "DR.",
            "credential": "DR CHRISTINE REESE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shybella Morgan
• Brianna Neal, LSW
• Kristie Sue Paprocki, SLP
• Katarzyna Para, FNP-C
• Prosper Mental Health Inc
• Roy C Reese Jr., PSYD
• Dawn L Rush
• Sanctuary Community Counseling and Resources, NFP
• Scott Therapeutic Services, PLLC (Scott Therapeutic Services)
• Serenity Village of Illinois

• Clinical Psychologist in Calumet Park, IL
• Providers in Calumet Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.