DR. SAMUEL BRIAN MCINTYRE (NPI# 1386608008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386608008 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL BRIAN MCINTYRE |
| Credential | ED.D |
| Practice Address |
7309 N Knoxville Ave Peoria IL 61614-2085 |
| Practice Telephone | 3096929898 |
| Practice Fax Number | 3096929055 |
| Mailing Telephone | 3096929898 |
| Mailing Fax Number | 3096929055 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
IL | Behavioral Health & Social Service Providers |
| Street Address |
7309 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-2085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982688669 | Lisa K Nielsen | Physician Assistant | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2005-12-06 |
| 1962038356 | Joshua Michael Auer | Nurse Practitioner | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2020-03-17 |
| 1932449691 | J&j Health Services LLC | Urology | 7309 N Knoxville Ave, Suite 200, Peoria, IL 61614-2085 | 2013-02-18 |
| 1649537986 | Lorie L Recar | Specialist/Technologist, Other | 7309 N Knoxville Ave, Ste. #2, Peoria, IL 61614-2085 | 2012-04-11 |
| 1659662070 | Erin Jean Overcash | Nurse Practitioner | 7309 N Knoxville Ave, Suite 300, Peoria, IL 61614-2085 | 2011-04-20 |
| 1427360809 | Laurie Mcatee | Nurse Anesthetist, Certified Registered | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2010-07-13 |
| 1275869240 | Tracy L Schierer | Nurse Practitioner | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2009-10-27 |
| 1942441225 | Laura L Wilson-brown | Physician Assistant | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2009-03-16 |
| 1821244880 | Brian Arthur Elsesser | Nurse Anesthetist, Certified Registered | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2008-08-11 |
| 1891715272 | Midwest Urological Group, Ltd. | Specialist | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886302 | Unicka Mare Green | Psychologist | 5651 S Perry Ave, Chicago, IL 60621-4019 | 2020-06-17 |
| 1467076398 | Ayesha Sconyers | Psychologist | 9204 S Ellis Ave, Chicago, IL 60619-7825 | 2020-06-06 |
| 1861032088 | Zora Angel Mahomes | Psychologist | 4056 W Jackson Blvd, Chicago, IL 60624-2756 | 2020-01-15 |
| 1639321169 | Eugenie Bournique Pabst | Psychologist | 1901 N Clybourn Ave, Suite 301, Chicago, IL 60614-5090 | 2008-10-15 |
| 1780624890 | Bonnie J Floyd | Psychologist | 1920 S Highland Ave, Suite 300, Lombard, IL 60148-4988 | 2006-06-07 |
| 1588649933 | Steven Michael Tovian | Psychologist | 480 Elm Pl, Suite 208, Highland Park, IL 60035-2538 | 2005-12-08 |
| 1932734548 | Keys To Care Psychological Services, LLC | Psychologist | 325 N Wells St, Chicago, IL 60654-7024 | 2020-03-04 |
| 1871003251 | Folashade Obasa | Psychologist | 4031 W Dayton St, Mchenry, IL 60050-8377 | 2017-10-11 |
| 1649792078 | Mcclymonds Psychological Services | Psychologist | 55 E Monroe St Ste 3800, Chicago, IL 60603-6030 | 2017-07-07 |
| 1497291637 | Bridgette Jackson | Psychologist | 355 Ridge Ave, Evanston, IL 60202-3328 | 2017-01-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. SAMUEL BRIAN MCINTYRE.
| 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.