Individual provider Active NPI

Christine M Reynolds, DNP, PMHNP-BC

  • Psychiatry Physician
  • Matteson, IL
National Provider Identifier
1659443810
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
222426 Issued in AZ
Practice address
4331 Lincoln Hwy Ste E
Matteson, IL 60443-2472
Phone
(708) 371-9700
Fax
(708) 748-1962
NPI assigned
Nov 14, 2006
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 129063 MO
Psychiatry Physician 2084P0800X 222426 AZ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 129063 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277001738 IL

Addresses

Primary practice location

4331 Lincoln Hwy Ste E
Matteson, IL 60443-2472

Mailing address

1120 N 5TH Ave
Tucson, AZ 85705-7408

Other practice location 1

3010 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-8413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210810001952 AZ Practitioner - Nurse Practitioner 5890030712
I20210910001098 IL Practitioner - Nurse Practitioner 5890030712 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of LakeGroup PAC ID 7214838861, 42 clinicians

Practice addresses (Care Compare)

2400 Belvidere Rd
Waukegan, IL 60085-6165
Phone (847) 377-8800

2410 Belvidere Rd
Waukegan, IL 60085-6165
Phone (847) 377-8686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
222426AZMDPsychiatry Physician
129063MOMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sertoma Centre, Inc. CurrentSince Aug 11, 2024 Accepting new patients
County of Lake Current Accepting new patients
Pinal Hispanic Council Current Accepting new patients
Grundy County Health Department CurrentSince Aug 1, 2021 Accepting new patients
Sertoma Star Services, Inc. CurrentSince Aug 11, 2024 Accepting new patients
County of Lake CurrentSince Jul 15, 2024 Accepting new patients
Grundy County Health Department CurrentSince Aug 1, 2021 Accepting new patients
County of Lake CurrentSince Jul 15, 2024 Accepting new patients
Casa de Los Ninos CurrentSince Jun 1, 2021 Accepting new patients
Casa de Los Ninos, Inc. CurrentSince Oct 10, 2021 Accepting new patients
Behavioral Consultation Services, Inc. Past Accepting new patients

Locations

275 N Grand Court Plz
Nogales, AZ 85621
Phone (520) 287-0015

4343 W 123rd St
Alsip, IL 60803
Phone (708) 371-9700

4331 Lincoln Hwy
Matteson, IL 60443
Phone (708) 748-1951

4331 Lincoln Hwy
Ste E
Matteson, IL 60443
Phone (708) 748-1951

1320 Union St
Morris, IL 60450
Phone (815) 941-3400

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

3002 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8088

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

Interoperability endpoints

  • Direct secure messaging: christine.reynolds.p1@direct.lakecountyil.nextgenshare.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1659443810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N 5TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 LINCOLN HWY STE E",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432472",
            "telephone_number": "708-371-9700",
            "fax_number": "708-748-1962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3010 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600852321",
            "country_code": "US",
            "telephone_number": "847-377-8413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "DNP,  PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "129063",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "222426",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "129063",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277001738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

Verify at the official NPI Registry.