Amy Macintyre, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD418660 Issued in PA

Practice address

111 Presidential Blvd
Suite 232
Bala Cynwyd, PA 19004-1008

Phone

(610) 667-1781

NPI assigned

Jun 8, 2008

Last updated

Jun 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 13, 2019 through Aug 13, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212883200000",
    "number": "1609035260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PRESIDENTIAL BLVD",
            "address_2": "SUITE 232",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041008",
            "telephone_number": "610-667-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PRESIDENTIAL BLVD",
            "address_2": "SUITE 232",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041008",
            "telephone_number": "610-667-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACINTYRE",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-08",
        "last_updated": "2008-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD418660",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD418660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1681044",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard B. Lynn, M.D.
• Ruthi Lynn, MFT
• Lyricly Behavioral Wellness (LyricLy Behavioral Health)
• Margaret Ellen Maas, M.D.
• Kathryn Susan Maceyko, CRNP
• Sandra M Mack, MSW,CSW
• Frank Macri, DPM
• Farideh M Madani, DMD
• Mansoor Madani, DMD
• Sheedeh Madani, MS, DMD

• Child & Adolescent Psychiatry Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Child & Adolescent Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.