Individual provider Active NPI

Maria Josephine Mynatt, M.D.

  • Psychiatry Physician
  • Lincolnshire, IL
National Provider Identifier
1497877880
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036-079111 Issued in IL
Practice address
250 Parkway Dr Ste 150
Lincolnshire, IL 60069-4340
Phone
(847) 325-5467
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD2010-0674 NM
Psychiatry Physician 2084P0800X 036-079111 IL Primary

Addresses

Primary practice location

250 Parkway Dr Ste 150
Lincolnshire, IL 60069-4340

Mailing address

455 Woodlawn Ave
Glencoe, IL 60022-2175
Phone (847) 835-4907

Other practice location 1

151 N Main St
Decatur, IL 62523-1206
Phone (217) 362-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190104000716 IL Practitioner - Psychiatry 4688957004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Illinois Medical College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Behavioral Health Center, Inc.Group PAC ID 0547208951, 20 clinicians

Practice addresses (Care Compare)

151 N Main St
Decatur, IL 62523-1206
Phone (217) 362-6262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-079111ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Health Systems Inc CurrentSince Nov 7, 2018 Accepting new patients
Heritage Behavioral Health Center Inc. CurrentSince Sep 1, 2023 Accepting new patients
Chestnut Health Systems Inc. CurrentSince Nov 7, 2018 Accepting new patients
Maria J. Mynatt, MD, PLLC Psychiatry Current Accepting new patients
Heritage Behavioral Health Center, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Heritage Behavioral Health Center Past Accepting new patients
Heritage Behavioral Health Center Past Accepting new patients
Heritage Behavioral Health Center Inc. Past Accepting new patients
Heritage Behavioral Health Center, Inc Past Accepting new patients
Heritage Behavioral Health Center Inc. Past Accepting new patients
Heritage Behavioral Health Center Inc. Past Accepting new patients
Heritage Behavioral Health Center Past Accepting new patients
Heritage Behavioral Health Center, Inc. Past Accepting new patients
Heritage Behavioral Health Center Past Accepting new patients
Heritage Behavioral Health Center, Inc Past Accepting new patients

Locations

702 W Chestnut St
Bloomington, IL 61701
Phone (309) 557-1400

1003 Martin Luther King Dr
Bloomington, IL 61701
Phone (309) 827-6026

140 Sunrise Ct
Clinton, IL 61727
Phone (217) 570-0900

788 E Clay St
Decatur, IL 62521

151 N Main St
Decatur, IL 62523
Phone (217) 420-4776

243 W Cerro Gordo St
Decatur, IL 62522
Phone (217) 422-3940

2965 N Main St
Decatur, IL 62526
Phone (217) 464-1250

50 Northgate Industrial Dr
Granite City, IL 62040
Phone (618) 512-1919

250 Parkway Dr
Ste 150
Lincolnshire, IL 60069
Phone (847) 480-1346

Organizations & group practices 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1497877880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 WOODLAWN AVE",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600222175",
            "telephone_number": "847-835-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PARKWAY DR STE 150",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600694340",
            "telephone_number": "847-325-5467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 N Main St",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625231206",
            "country_code": "US",
            "telephone_number": "217-362-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYNATT",
        "first_name": "MARIA",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2010-0674",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-079111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnshire, IL

Sources for this page

Verify at the official NPI Registry.