Organization Active NPI

McIntyre Psychological Services

  • Community/Behavioral Health Agency
  • Bonne Terre, MO
National Provider Identifier
1407433287
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MCINTYRE PSYCHOLOGICAL SERVICES
Practice address
319 Saint Pierre St
Bonne Terre, MO 63628-9253
Phone
(573) 315-3800
NPI assigned
Mar 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Angela Webb
Title
Owner
Phone
(573) 315-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

319 Saint Pierre St
Bonne Terre, MO 63628-9253

Mailing address

319 Saint Pierre St
Bonne Terre, MO 63628-9253

National Provider Directory

National Provider Directory

Locations

212 W Columbia St
#B
Farmington, MO 63640
Phone (573) 315-3800

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1407433287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 SAINT PIERRE ST",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636289253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 SAINT PIERRE ST",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636289253",
            "telephone_number": "573-315-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCINTYRE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-315-3800"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonne Terre, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.