Teresa McIntyre-Harlow, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY19632 Issued in CA

Practice address

6692 Merchandise Way
Diamond Springs, CA 95619-9453

Phone

(530) 626-2589

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1013136548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 MAIN ST STE D",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199173",
            "telephone_number": "530-677-2213",
            "fax_number": "530-677-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6692 MERCHANDISE WAY",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199453",
            "telephone_number": "530-626-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE-HARLOW",
        "first_name": "TERESA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celia Sabra Mason-Douglas, MFTI
• Nora Mae Mays
• Carol Ann McCrory, M.A.
• Ashley Christine McCulloch
• Jessica L McGimsey
• John W McKean, M.D.
• Kimberly Michele McKinstry, PT
• Suzanne McLoed
• Jennifer Lynn Mercurio
• Rachel Anne Montiel, LMFT 106066

• Psychologist in Diamond Springs, CA
• Providers in Diamond Springs, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.