David John McIntyre, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20827 Issued in CA

Practice address

222 Paul Scannell Dr
San Mateo, CA 94402-4061

Phone

(650) 504-3519

Fax

(650) 312-5305

NPI assigned

Jul 26, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1063436095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PAUL SCANNELL DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944024061",
            "telephone_number": "650-504-3519",
            "fax_number": "650-286-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PAUL SCANNELL DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944024061",
            "telephone_number": "650-504-3519",
            "fax_number": "650-312-5305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1291 E Hillsdale Blvd",
            "address_2": "Ste 302",
            "address_purpose": "LOCATION",
            "city": "Foster City",
            "state": "CA",
            "postal_code": "944041220",
            "country_code": "US",
            "telephone_number": "650-504-3519",
            "fax_number": "650-286-9545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megann McGinnis, DO
• Jocelyn McGriff, LCSW
• Rob McIlvoy
• Michelle McIlwain
• Breanna Hope McIntyre
• Natalie Mary Paine McKay
• Kathleen Moira McKenna, M.D.
• Jeannice J McKinney
• Jevon (J.L.) Lathan McKinnon
• Julian Hardy McLain, MD

• Clinical Psychologist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.