Individual provider Active NPI

Meaghan Meissner McCollow, PHD, BCBA-D

  • Psychologist
  • Saint Louis, MO
National Provider Identifier
1376380345
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2024025700 Issued in MO
Practice address
6104 Eveline St
Saint Louis, MO 63139-3012
Phone
(314) 932-1105
NPI assigned
Jul 9, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2024025700 MO Primary
Behavior Analyst 103K00000X 7401002197 MI

Addresses

Primary practice location

6104 Eveline St
Saint Louis, MO 63139-3012

Mailing address

443 Camden St
Ferndale, MI 48220-2642
Phone (510) 421-0600

Other names 1

  • Dr. Meaghan Melissa McCollow Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7401002197MIMDBehavioral Analyst
2024025700MOMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1376380345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 CAMDEN ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202642",
            "telephone_number": "510-421-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 EVELINE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393012",
            "telephone_number": "314-932-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLOW",
        "first_name": "MEAGHAN",
        "middle_name": "MEISSNER",
        "name_prefix": "Dr.",
        "credential": "PHD, BCBA-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2024025700",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401002197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGHAN",
            "last_name": "MCCOLLOW",
            "middle_name": "MELISSA",
            "prefix": "DR.",
            "credential": "PHD, BCBA-D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.