WILLIAM E. MCCOLLUM, M.D., P.A. (NPI# 1992930903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992930903 |
| Entity Type | Organization |
| Organization Name | WILLIAM E. MCCOLLUM, M.D., P.A. |
| Other Organization Name | MCCOLLUM PSYCHIATRIC CLINIC |
| Practice Address |
201 N 36th St Rogers AR 72756-1750 |
| Practice Telephone | 4796218600 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |
| Authorized Official Name | WILLIAM MCCOLLUM (PRESIDENT) |
| Authorized Official Telephone | 4796218600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
C-6457 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 101217001 | 05 |
| Other Name | Type Code |
|---|---|
| McCollum Psychiatric Clinic | Doing Business As Name - Organization |
| Street Address |
201 N 36TH ST |
| City | ROGERS |
| State | AR |
| Zip Code | 72756-1750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396815627 | William E Mccollum | Psychiatry & Neurology | 201 N 36th St, Rogers, AR 72756-1750 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
| 1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
| 1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
| 1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
| 1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
| 1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
| 1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
| 1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
| 1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
| Find all providers in zip 72756 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629348057 | Kathryn M Gale | Psychologist | 12712 Natural Steps Dr, Roland, AR 72135-9395 | 2012-01-02 |
| 1154511640 | Tina Marie Emerson | Psychologist | 5703 Central Ave, #11, Hot Springs, AR 71913-1824 | 2007-07-31 |
| 1225242043 | Olimpia Rosario | Psychologist | 1815 Pleasant Grove Rd., Jonesboro, AR 72404 | 2007-05-10 |
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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.