Robert K McIntyre, LLP NCC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301010904 Issued in MI

Practice address

7889 Red Arrow Hwy
Stevensville, MI 49127

Phone

(269) 465-4000

Fax

(269) 465-4001

NPI assigned

May 21, 2007

Last updated

Feb 6, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridgman Psychological Partners PLC

  • Psychologist
  • Stevensville, MI
  • NPI 1053589036
  NPD (past) Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1821207630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7889 RED ARROW HWY",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "49127",
            "telephone_number": "269-465-4000",
            "fax_number": "269-465-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7889 RED ARROW HWY",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "49127",
            "telephone_number": "269-465-4000",
            "fax_number": "269-465-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "ROBERT",
        "middle_name": "K",
        "credential": "LLP NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301010904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Michael Malzon, MA, LPC
• Heather A Marten, MD
• Martin's Super Markets of Stevensville LLC (Martin's Pharmacy #23 Stevensville)
• Kayla Nicole Martinez, LMT
• Nancy Mason, LCSW
• Meijer Inc. (Meijer Pharmacy #251)
• Flori D Mejeur, MSW
• Mercy Memorial Health Services Inc (Corewell Health Rehabilitation & Nursing Center - Pine Ridge)
• Michiana Medical Supply LLC
• Alan Joseph Mileski

• Counseling Psychologist in Stevensville, MI
• Providers in Stevensville, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.