William E McCollum, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C6457 Issued in AR

Practice address

201 N 36TH St
Rogers, AR 72756-1750

Phone

(479) 621-8600

Fax

(479) 621-8661

NPI assigned

Nov 8, 2006

Last updated

Jul 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• William E. McCollum, M.D., P.a.

  dba McCollum Psychiatric Clinic

  • Prescribing (Medical) Psychologist
  • Rogers, AR
  • NPI 1992930903
  NPD Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1396815627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N 36TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727561750",
            "telephone_number": "479-621-8600",
            "fax_number": "479-621-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N 36TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727561750",
            "telephone_number": "479-621-8600",
            "fax_number": "479-621-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "C6457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "53464",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101217001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Liddell McCarley Jr., BS PHARM, PD
• Sean P McCarthy, CRNA
• Lauren Hall McCaslin, MD
• Anne Hassell McCauley, M ED, LPC
• Amanda Lauren McClain, MS, OT
• Sara J McCord, ARNP
• Leslie Rachel McCormack, CNM APN
• Abby Elise McCoy
• Andrew McCoy
• Sonja McCuen

• Psychiatry Physician in Rogers, AR
• Providers in Rogers, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.