William A McCollaum, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS006008L Issued in PA

Practice address

275 S Main St
Suite 2D Park Terrace
Doylestown, PA 18901-4815

Phone

(215) 345-5665

Fax

(215) 345-5700

NPI assigned

May 4, 2007

Sex

Male

Sole proprietor

Yes

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 PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Hahnemann University College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710199781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S MAIN ST",
            "address_2": "SUITE 2D PARK TERRACE",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014815",
            "telephone_number": "215-345-5665",
            "fax_number": "215-345-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S MAIN ST",
            "address_2": "SUITE 2D PARK TERRACE",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014815",
            "telephone_number": "215-345-5665",
            "fax_number": "215-345-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLAUM",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006008L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINISTRATOR",
            "identifier": "F99475",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA.HIGHMARK",
            "identifier": "699475",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen W McCafferty, M.A.
• Angela McClain
• Emily N McClain
• James B McClurken, MD
• Mary Warren McCollaum, CNS
• Kyle John McCormick, DO
• Mikea McCoy, PMHNP
• Krista McDemus, MS, LPC
• Erin Margaret McDonald
• Lindsay Nicole McDonald

• Clinical Psychologist in Doylestown, PA
• Providers in Doylestown, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.