Active NPI
William J. McIntosh PHD PC
- Clinical Neuropsychologist
- Decatur, GA
National Provider Identifier
1710144001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY000316
- Legal business name
- WILLIAM J. MCINTOSH PHD PC
- Practice address
- 1439 McLendon Dr Ste D
Decatur, GA 30033-1841 - Phone
- (770) 493-9777
- NPI assigned
- May 22, 2008
- Last updated
- May 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William J McIntosh, PHD
- Title
- Principal
- Phone
- (770) 493-9777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY000316 | GA | Primary |
Addresses
Primary practice location
1439 McLendon Dr Ste D
Decatur, GA 30033-1841
Mailing address
1439 McLendon Dr Ste D
Decatur, GA 30033-1841
Phone (770) 493-9777
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Decatur, GA
- NPI 1194735357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1710144001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1439 MCLENDON DR STE D",
"city": "DECATUR",
"state": "GA",
"postal_code": "300331841",
"telephone_number": "770-493-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1439 MCLENDON DR STE D",
"city": "DECATUR",
"state": "GA",
"postal_code": "300331841",
"telephone_number": "770-493-9777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM J. MCINTOSH PHD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "MCINTOSH",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "770-493-9777",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "GA",
"license": "PSY000316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.