Organization Active NPI

William J. McIntosh PHD PC

  • Clinical Neuropsychologist
  • Decatur, GA
National Provider Identifier
1710144001
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY000316 Issued in GA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
William J McIntosh, PHDNPI 1194735357
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.