Craig McIntosh, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2000152231 Issued in MO

Legal business name

CRAIG MCINTOSH, LLC

Practice address

4561 S Compton Ave
Saint Louis, MO 63111-1554

Phone

(314) 223-6766

Fax

(314) 664-2483

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Craig McIntosh, MSW, LCSWNPI 1134130693

Title

Owner

Phone

(314) 223-6766

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Craig McIntosh, LCSW

  • Clinical Social Worker
  • Scott Afb, IL
  • NPI 1134130693
  NPD (past) Authorized official

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1891968848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4561 S COMPTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631111554",
            "telephone_number": "314-223-6766",
            "fax_number": "314-664-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4561 S COMPTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631111554",
            "telephone_number": "314-223-6766",
            "fax_number": "314-664-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG MCINTOSH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-223-6766",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2000152231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Michael Craft, M.D., PH.D.
• Joseph A. Craft III, M.D.
• Patrick Alexander Craft, DO
• David C Crafts, M.D.
• William DK Cragg, D.C.
• Craig Resources LLC
• Craig Resources, Inc.
• Ania Shadawn Craig
• Erin N Craig
• Ethan Craig, MD

• Community/Behavioral Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.