Katherine McCollum

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

720 Saint James Dr
Wilmington, NC 28403-2937

Phone

(910) 769-3639

NPI assigned

Jun 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Center for Pediatric Behavioral Health

  • Clinical Child & Adolescent Psychologist
  • Wilmington, NC
  • NPI 1871962415
  NPD (past)

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1558045260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SAINT JAMES DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032937",
            "telephone_number": "910-769-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SAINT JAMES DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032937",
            "telephone_number": "910-769-3639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Saint James Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284032937",
            "country_code": "US",
            "telephone_number": "910-769-3639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Martin McCauley, LPC, NCC, M.ED.
• Aimee Victoria McClellan, LCSW
• Charles Chadbourne McClintock, MSW, LCSWA
• Bethany Taylor McCloskey
• Deborah McClure, LCSWA, LCASA
• Robert Patrick McConekey, DPM
• Regina Lynette McConley, PHD, MPH
• Patrick Verne McConnell, PA-C
• Thomas Charles McConnell, MSW, LCSWA
• John Kyle McCool, M.D.

• Behavior Technician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.