Page Sophia McIntyre

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

011775 Issued in NY

Practice address

935 S Lake Blvd Ste 2
Mahopac, NY 10541-3222

Phone

(845) 628-9284

NPI assigned

Nov 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Page McIntyre Mental Health Counseling PLLC

  • Mental Health Counselor
  • Brooklyn, NY
  • NPI 1376306977
  NPD Authorized official

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1043854193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 POWERS STREET, APT 3RR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112110051",
            "telephone_number": "845-519-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 S LAKE BLVD STE 2",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105413222",
            "telephone_number": "845-628-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "PAGE",
        "middle_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P103310",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "103310-01",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NY",
            "license": "104760-01",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen A. McCormick, CRNA
• Siobhan Elizabeth McCullagh, MS, OTR/L
• Elizabeth Jean McGowan
• Cathleeen A McGregor
• Eileen Patricia McHugh, RN
• Caitlin Ann McKenna, RN
• Nicole McKenzie, NP
• Marianne T Meenan, REGISTERED NURSE
• Jessica Mercadante, COTA
• Aileen Aratan Mercader, PT

• Mental Health Counselor in Mahopac, NY
• Providers in Mahopac, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.