DR. AMY MACINTYRE (NPI# 1609035260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609035260 |
| Entity Type | Individual |
| Full Name | DR. AMY MACINTYRE |
| Credential | MD |
| Practice Address |
111 Presidential Blvd Suite 232 Bala Cynwyd PA 19004-1008 |
| Practice Telephone | 6106671781 |
| Mailing Telephone | 6106671781 |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2008-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD418660 | PA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD418660 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE CROSS | 1681044 | 01 |
| Street Address |
111 PRESIDENTIAL BLVD SUITE 232 |
| City | BALA CYNWYD |
| State | PA |
| Zip Code | 19004-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548362478 | Cheryl L Sanfacon | Counselor | 111 Presidential Blvd, Suite 220, Bala Cynwyd, PA 19004-1008 | 2006-09-01 |
| 1396251906 | Denise Ray | Social Worker | 111 Presidential Blvd, East Lobby Suite 237, Bala Cynwyd, PA 19004-1012 | 2017-12-18 |
| 1285167254 | Craig Ross | Family Medicine | 111 Presidential Blvd, Suite 127, Bala Cynwyd, PA 19004-1008 | 2017-04-06 |
| 1871949719 | Brian Gallagher Psy.d. LLC | Clinic/Center | 111 Presidential Blvd, Suite 237, Bala Cynwyd, PA 19004-1008 | 2016-05-10 |
| 1912209453 | Stronger Than Ever | Social Worker | 111 Presidential Blvd, Suite 237, Bala Cynwyd, PA 19004-1008 | 2010-12-02 |
| 1720394687 | Amudipes Behavioral Health | Durable Medical Equipment & Medical Supplies | 111 Presidential Blvd, Suite 244, Bala Cynwyd, PA 19004-1008 | 2010-08-29 |
| 1346575487 | Arlene P Jones Tippett | Social Worker | 111 Presidential Blvd, Suite 237, Bala Cynwyd, PA 19004-1008 | 2009-10-07 |
| 1710117171 | Dena Dandridge | Social Worker | 111 Presidential Blvd, Suite 237, Bala Cynwyd, PA 19004-1008 | 2009-07-20 |
| 1699914150 | Medtronic Monitoring, Inc | Physiological Laboratory | 111 Presidential Blvd, 102, Bala Cynwyd, PA 19004-1008 | 2009-02-06 |
| 1366626723 | Mary Lou Schack | Psychologist | 111 Presidential Blvd, Suite 237, Bala Cynwyd, PA 19004-1008 | 2007-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707819 | Katherine Lesher | Psychologist | 2 Bala Plaza Pl-13, Bala Plaza, PA 19004 | 2020-07-16 |
| 1144749342 | Apthcs | In Home Supportive Care | 150 Monument Road Suite 207, Bala Cynwyd, PA 19004 | 2017-09-19 |
| 1508389222 | Miriam Ray | Social Worker | 15 Montgomery Ave Apt 2b, Bala Cynwyd, PA 19004 | 2017-07-25 |
| 1003363235 | Catherine Kazanjian | Nurse Practitioner | 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 | 2016-09-06 |
| 1295181717 | Ruth Sampson-pilgrim | Nurse Practitioner | 160 Rock Hill Road, Vista Medical Services, Balacynwood, PA 19004 | 2016-05-13 |
| 1902252414 | Nurse Plus Home Care Agency,llc | In Home Supportive Care | Two Bala Plaza, Pmb #516, Suite 300, Bala Cynwyd, PA 19004 | 2016-05-13 |
| 1386010999 | Joan Lyall | Speech-Language Pathologist | 113 Ashland Avenue, Bala Cynwyd, PA 19004 | 2015-08-18 |
| 1922349158 | May W. Lee | Pediatrics | 130 E. Levering Mill Road, Bala Cynwyd, PA 19004 | 2013-03-13 |
| 1023362423 | Justin Carl Lavo | Physical Therapist | 100 Presidental Boulevard, Bala Cynwyd, PA 19004 | 2012-11-07 |
| 1689961765 | Cassio Castro | Dentist | 147 Montgomery Avenue, Bala Cynwyd, PA 19004 | 2011-07-08 |
| Find all providers in zip 19004 | ||||
| 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 |
|---|---|---|---|---|
| 1619123734 | Lydia Kay Sit | Psychiatry & Neurology | 110 Bala Ave., 3rd Floor Suite, Bala Cynwyd, PA 19004 | 2008-08-08 |
| 1851516991 | Margaret Ann Price | Psychiatry & Neurology | 45 E City Ave # 1613, Bala Cynwyd, PA 19004-2421 | 2007-04-16 |
| 1902182694 | Aaron T. Beck | Psychiatry & Neurology | 1 Belmont Ave, Bala Cynwyd, PA 19004 | 2011-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932174 | Northeast Counseling Service | Psychiatry & Neurology | 85 S Old Turnpike Rd, Drums, PA 18222-1731 | 2020-11-06 |
| 1639770647 | Northeast Counseling Service | Psychiatry & Neurology | 275 Mill St, Hazleton, PA 18201-6701 | 2020-11-05 |
| 1225645518 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 723 Coal St, Easton, PA 18042-6556 | 2020-09-30 |
| 1093322380 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 990 Echo Trl, Easton, PA 18040-1014 | 2020-09-30 |
| 1720695141 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 429 Reeder St, Easton, PA 18042-1731 | 2020-09-29 |
| 1710594130 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1709 Richmond Rd, Easton, PA 18040-8435 | 2020-09-29 |
| 1528675345 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1315 Echo Trl, Easton, PA 18040-1019 | 2020-09-25 |
| 1164039996 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1243 Tatamy Rd, Easton, PA 18045-7405 | 2020-09-25 |
| 1578170304 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1221 Northampton St, Easton, PA 18042-4138 | 2020-09-25 |
| 1336754951 | Evergreen Psychiatry LLC | Psychiatry & Neurology | 539 S Bolmar St, West Chester, PA 19382-4934 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | BALA CYNWYD |
| Zip Code | 19004 |
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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.