WAYNE MCINTOSH (NPI# 1669851390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669851390 |
| Entity Type | Individual |
| Full Name | WAYNE MCINTOSH |
| Credential | DNP, PMHNP |
| Practice Address |
868 E University Dr Mesa AZ 85203-8033 |
| Practice Telephone | 4804647466 |
| Mailing Telephone | 4804647466 |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP7832 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
868 E UNIVERSITY DR |
| City | MESA |
| State | AZ |
| Zip Code | 85203-8033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760429856 | Michael Brennan | Psychiatry & Neurology | 868 E University Dr, Mesa, AZ 85203-8033 | 2006-05-31 |
| 1548603954 | Courtney Beth Kleinebreil | Counselor | 868 E University Dr, Mesa, AZ 85203-8033 | 2013-04-16 |
| 1811270051 | Melissa A Houghtling Longe | Counselor | 868 E University Dr, Mesa, AZ 85203-8033 | 2011-09-23 |
| 1992087035 | A New Leaf | Community/Behavioral Health | 868 E University Dr, Mesa, AZ 85203-8033 | 2011-09-14 |
| 1144502782 | Debra A Ralston | Counselor | 868 E University Dr, Mesa, AZ 85203-8033 | 2011-09-09 |
| 1215217898 | Michele Ann Becker | Social Worker | 868 E University Dr, Mesa, AZ 85203-8033 | 2011-08-26 |
| 1669681896 | A New Leaf, Inc. | Community/Behavioral Health | 868 E University Dr, Mesa, AZ 85203-8033 | 2007-05-22 |
| 1992857304 | Adena Ray | Social Worker | 868 E University Dr, Mesa, AZ 85203-8033 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487149 | Sunitha Jose | Nurse Practitioner | 3308 N Higley Rd, Mesa, AZ 85215-9781 | 2020-08-10 |
| 1447877972 | Reena Pathak | Nurse Practitioner | 1111 S Stapley Dr # 5060, Mesa, AZ 85204-5059 | 2020-07-01 |
| 1760021885 | Matthew Deise | Nurse Practitioner | 460 N Mesa Dr Ste 201, Mesa, AZ 85201-5957 | 2020-01-06 |
| 1639713621 | Summit Place Mental Health, LLC | Nurse Practitioner | 625 W Southern Ave Ste E, Mesa, AZ 85210-5018 | 2019-11-01 |
| 1063062149 | Makenna Francis | Nurse Practitioner | 2730 S. Val Vista Dr, 146, Mesa, AZ 85215 | 2019-09-19 |
| 1891341947 | James M Theiss | Nurse Practitioner | 5439 E Ellis St, Mesa, AZ 85205-5470 | 2019-08-14 |
| 1134527534 | Susan Willever | Nurse Practitioner | 11331 E Starfire Cir, Mesa, AZ 85212-7062 | 2014-12-17 |
| 1326443003 | Jennifer Anderson | Nurse Practitioner | 6262 E Brown Rd Unit 43, Mesa, AZ 85205-4846 | 2014-10-24 |
| 1356616205 | Sukanlaya Hughes | Nurse Practitioner | 2444 E. Southern Ave. Ste. 103, Mesa, AZ 85204 | 2012-03-11 |
| 1942403076 | Shosamana | Nurse Practitioner | 3740 E Southern Ave Ste 207, Mesa, AZ 85206-2512 | 2007-06-06 |
| Find all providers in MESA | ||||
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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.