Natasha L Reynolds, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.009652 Issued in IL

Practice address

645 N Michigan Ave Ste 500
Chicago, IL 60611-2881

Phone

(312) 620-0403

NPI assigned

May 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1699153312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N MICHIGAN AVE STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112881",
            "telephone_number": "312-620-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N MICHIGAN AVE STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112881",
            "telephone_number": "312-620-0403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Bay State Rd",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022151506",
            "country_code": "US",
            "telephone_number": "617-353-9920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "NATASHA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marleta Reynolds, MD
• Megan E Reynolds, PNP
• Melissa Reynolds
• Meredith Abbie Reynolds, MD
• Nancy Reynolds, OT
• Rachel Elizabeth Reynolds, DPT
• Racquel Reynolds
• Sally Louise Reynolds, MD
• Sarah Helen Reynolds
• Virginia Reynolds, LCPC 180 007 760

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.