Individual provider Active NPI

James Curtis McIntosh Jr., MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1275663106
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
157558 Issued in NY
Practice address
666 Linden Blvd
Brooklyn, NY 11203-3213
Phone
(718) 693-3513
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 157558 NY Primary

Addresses

Primary practice location

666 Linden Blvd
Brooklyn, NY 11203-3213

Mailing address

666 Linden Blvd
Brooklyn, NY 11203-3213
Phone (718) 693-3513

Other identifiers 1

IdentifierTypeStateIssuer
157558OtherNYLICENCE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050321000437 NY Practitioner - PsychiatryPractitioner - Neuropsychiatry 1456306687 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
157558NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goodwill Industries of Greater New York and Northern New Jersey, Inc CurrentSince Mar 2, 2016 Accepting new patients
The Fortune Society Inc. CurrentSince Nov 15, 2015 Accepting new patients
Transitional Services for New York, Inc PastSince Mar 21, 2002 Accepting new patients
Transitional Services for New York,Inc. Past Accepting new patients

Locations

25 Elm Pl
Fl 3
Brooklyn, NY 11201

2976 Northern Blvd
Fl 2
Long Island City, NY 11101
Phone (212) 691-7554

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275663106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033213",
            "telephone_number": "718-693-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033213",
            "telephone_number": "718-693-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "JAMES",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "157558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE  NUMBER",
            "identifier": "157558",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.