ROBERT ELLIS MCINTIRE (NPI# 1487752325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487752325 |
| Entity Type | Individual |
| Full Name | ROBERT ELLIS MCINTIRE |
| Credential | MD |
| Practice Address |
3200 Waterfield Dr Garner NC 27529 |
| Mailing Address |
2050 Mercantile Dr Leland NC 28451-4053 |
| Practice Telephone | 9198004400 |
| Practice Fax Number | 9195734163 |
| Mailing Telephone | 9103712500 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
2015-01804 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
G88381 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME105882 | FL | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
45105 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | COUNTY OF SANTA CRUZ MEDI-CAL GROUP# | FHC 70044F | 01 |
| CA | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# | ZZZ91891Z | 01 |
| CA | SANTA CRUZ COUNTY MEDICARE PTAN# | CA116297 | 01 |
| CA | SANTA CRUZ COUNTY MEDICARE PTAN# | CA116296 | 01 |
| CA | COUNTY OF SANTA CRUZ MEDI-CAL GROUP# | FHC 70042 | 01 |
| CA | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# | ZZZ91892Z | 01 |
| WI | 34296500 | 05 | |
| FL | 001782300 | 05 | |
| CA | SANTA CRUZ COUNTY MEDICARE PTAN# | CA116295 | 01 |
| CA | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# | ZZZ92069Z | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 Emeline Ave, Santa Cruz, CA 950601976 | 8314544971 | 8314544170 |
| Street Address |
3200 WATERFIELD DR |
| City | GARNER |
| State | NC |
| Zip Code | 27529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285277970 | Jeffrey Scott Smith | Counselor | 3200 Waterfield Dr, Garner, NC 27529-7727 | 2019-10-24 |
| 1013488444 | Sbh-raleigh, LLC | Psychiatric Residential Treatment Facility | 3200 Waterfield Dr, Garner, NC 27529-7727 | 2018-12-11 |
| 1477024800 | Sbh-raleigh, LLC | Psychiatric Residential Treatment Facility | 3200 Waterfield Dr, Garner, NC 27529-7727 | 2018-12-11 |
| 1770956286 | Sbh - Raleigh, LLC | Psychiatric Hospital | 3200 Waterfield Dr, Garner, NC 27529-7727 | 2015-11-05 |
| 1114300571 | Samantha Jo Hessom | Physician Assistant | 3200 Waterfield Dr, Garner, NC 27529-7727 | 2015-07-02 |
| 1356765960 | Institutional Pharmacy Solutions, LLC | Pharmacy | 3200 Waterfield Dr, Garner, NC 27529-7727 | 2014-02-18 |
| 1225451776 | Piedmont Behavioral Services, PC | Community/Behavioral Health | 3200 Waterfield Dr, Garner, NC 27529 | 2014-02-03 |
| 1952731515 | Institutional Pharmacy Solutions | Pharmacy | 3200 Waterfield Dr, Garner, NC 27529-7727 | 2013-11-19 |
| 1225470461 | Sbh Raleigh, LLC | Psychiatric Hospital | 3200 Waterfield Dr, Garner, NC 27529-7727 | 2013-07-29 |
| 1821338963 | Compass Health Systems of North Carolina | Psychiatry & Neurology | 3200 Waterfield Dr, Garner, NC 27529-7727 | 2013-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578112579 | Ascend Rehab Therapy | Speech-Language Pathologist | 45 Waterpine Drive, Garner, NC 27529 | 2019-09-11 |
| 1760039937 | Direct Realistic Counseling Sevices | Counselor | 503 Highway 70, Suite R, Garner, NC 27529 | 2019-08-22 |
| 1285281402 | Direct Solutions Counseling Services | Counselor | 503 R Highway 70, Garner, NC 27529 | 2019-08-22 |
| 1821551920 | Rex Hospital Inc | Emergency Medicine | 1165 Us Hwy 70 W, Garner, NC 27529 | 2019-04-08 |
| 1154888485 | First Step Services, LLC | Social Worker | 1418 Aversboro Road, Suite 201, Garner, NC 27529 | 2019-02-22 |
| 1528533387 | Pratibha Verma | Physical Therapist | 200 Bellarose Nursing and Rehab, Garner, NC 27529 | 2018-10-09 |
| 1073037271 | Kim Robert Rogers | Marriage & Family Therapist | 1140 Holly Springs Road #207, Holly Springs, NC 27529 | 2017-07-29 |
| 1790214062 | Diversified Services of Nc LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 255 Adams Point Dr, Garner, NC 27529 | 2017-06-08 |
| 1972049369 | Michelle Stephens | Case Manager/Care Coordinator | 7017 Scarlett Ln, Garner, NC 27529 | 2017-01-10 |
| 1962854877 | Brittany H Mccrann | Social Worker | 310 New Fidelity Ct, Garner, NC 27529 | 2016-07-05 |
| Find all providers in zip 27529 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831251974 | Helen Elizabeth Courvoisie | Psychiatry & Neurology | 3200 Waterfield Dr, Garner, NC 27529-7727 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003432121 | North Carolina Neuropsychiatry, P.a. | Psychiatry & Neurology | 2080 Energy Dr, Apex, NC 27502-8722 | 2020-06-24 |
| 1073067492 | Teresa Tracy | Psychiatry & Neurology | 817 Mill Rd, Goldsboro, NC 27534-8947 | 2016-08-15 |
| 1659781581 | Il-gyu Cho | Psychiatry & Neurology | 101 Manning Dr. Cb#7160, Unc Department of Psychiatry, Chapel Hill, NC 27599 | 2014-04-30 |
| 1457770299 | Allison Foroobar | Psychiatry & Neurology | 400 Meadowmont Village Cir Ste 421, Chapel Hill, NC 27517-7505 | 2014-04-09 |
| 1386089894 | Christina Melissa Cruz | Psychiatry & Neurology | Department of Psychiatry Clb, 101 Manning Drive, Chapel Hill, NC 27599 | 2013-05-10 |
| 1497098420 | Neuropsychiatric Care Center, Pllc | Psychiatry & Neurology | 445 Dolley Madison Rd Ste 210, Greensboro, NC 27410-5169 | 2013-03-27 |
| 1033484555 | Jean Gaillard Spaulding | Psychiatry & Neurology | 2400 Pratt St Ste 1500, Box 3644 First Floor, Durham, NC 27705-3976 | 2012-03-16 |
| 1821366402 | Yvette Figueroa | Psychiatry & Neurology | 3801 Lake Boone Trail, Suite 150, Raleigh, NC 27607 | 2011-12-09 |
| 1598063307 | Corine's Care Management, Inc. | Psychiatry & Neurology | 369 B C Hwy 13 South, Snow Hill, NC 28580-9515 | 2011-03-02 |
| 1861705956 | Haven Ministries, Inc. | Psychiatry & Neurology | 3725b Wrightsville Ave, Wilmington, NC 28403-4140 | 2010-07-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.