DAVID J MACINTYRE (PSY.D.) – Professional Counselor, NPI 1043402092

DAVID J MACINTYRE (PSY.D.) is a healthcare provider. based in Weston, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PSY.D.. They hold a License No. 180.003018 (IL). The NPI Number for DAVID J MACINTYRE (PSY.D.) is 1043402092

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DAVID J MACINTYRE (PSY.D.)
NPI
1043402092
Phone
(715) 298-2846
Address
2405 SCHOFIELD AVE
Enumeration Date
14 August 2007
Last Update Date
3 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7158485022
Graduation Year
2001 (25 years ago)
PAC ID
9830540418
Group Practice PAC ID
6002083920
Professional Enrollment ID
I20240402002467
Address ID
WI544034718WA901XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

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Provider Addresses for DAVID J MACINTYRE (PSY.D.)

  • 2405, Schofield Avenue, Village of Weston, Marathon County, Wisconsin, 54476, United States

    SUITE 210

    WESTON, WI 544762300

    Phone: (715) 298-2846

    Fax: (715) 298-3146

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240402002467IMental Health CounselorWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54476)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002083920View full group profile
NameSpecialtyState
Mental Health CounselorWI
Clinical Social WorkerWI
Marriage And Family TherapistWI
Marriage And Family TherapistWI
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorWI
Clinical Social WorkerWI
Mental Health CounselorWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

Is there an official ID for DAVID J MACINTYRE (PSY.D.) in U.S. healthcare records?
The official identifier for DAVID J MACINTYRE (PSY.D.) is NPI 1043402092.
Would DAVID J MACINTYRE (PSY.D.) appear as active to a payer?
You can treat DAVID J MACINTYRE (PSY.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DAVID J MACINTYRE (PSY.D.)?
DAVID J MACINTYRE (PSY.D.) is associated with Professional Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is DAVID J MACINTYRE (PSY.D.) associated with Weston?
Public fields place DAVID J MACINTYRE (PSY.D.) around Weston, Wisconsin. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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