Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Samuel Brian McIntyre, EDD

Individual provider Health Service Psychologist · NPI 1386608008

Dr. Samuel Brian McIntyre, EDD is a Clinical Psychologist in Peoria, Illinois. Qualified in 1987, 39 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
39
Licensed in
IL
In the registry since
2006
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

7309 N Knoxville Ave
Peoria, IL 61614-2085
Phone: (309) 692-9898
Fax: (309) 692-9055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Psychologist (primary) Taxonomy 103TH0100X (IL)

Record details

NPI number1386608008
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD
Sole proprietorNo
NPI enumeratedApril 12, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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