Maria J. Mynatt, MD, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MARIA J. MYNATT, MD, PLLC

Practice address

250 Parkway Dr Ste 150
Lincolnshire, IL 60069-4340

Phone

(847) 325-5467

NPI assigned

Dec 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Maria Josephine Mynatt, MDNPI 1497877880

Title

Managing Member

Phone

(847) 325-5467

Specialties & licenses 1

Addresses

Practitioners 1

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

• Maria Josephine Mynatt, M.D.

  • Psychiatry Physician
  • Lincolnshire, IL
  • NPI 1497877880
  NPD Authorized official

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1821560475",
    "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": "847-791-7799"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "MARIA J. MYNATT, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "MYNATT",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "JOSEPHINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "847-325-5467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Patrice Maciejewski
• Mafolux Healthcare Services LLC (Mafolux Healthcare Services)
• Jan-Lok Deborah Mak, OTR/L
• Junaid A Makda, M.D
• Richard Allen Margolin, D.O.
• Nicole Mara Martinez, PSYD, LCPC
• Rosann Y. Masters, SLP
• Medical Home Nursing Inc.
• Joseph Alfred Meis, MD
• Nancy E Messervey, OTR/L

• Psychiatry Physician in Lincolnshire, IL
• Providers in Lincolnshire, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.