Active NPI
/Marilou McNally Kollar, PHD
- Clinical Psychologist
- Virginia Beach, VA
National Provider Identifier
1770599011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810000718
- Practice address
- 101 N Lynnhaven Rd Ste 202
Virginia Beach, VA 23452-7523 - Phone
- (757) 486-6955
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810000718 | VA | Primary |
Addresses
Primary practice location
101 N Lynnhaven Rd Ste 202
Virginia Beach, VA 23452-7523
Mailing address
837 Coverdale LN
Virginia Beach, VA 23452-3926
Phone (757) 340-5658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7701772 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810000718 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770599011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "837 COVERDALE LN",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234523926",
"telephone_number": "757-340-5658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N LYNNHAVEN RD STE 202",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527523",
"telephone_number": "757-486-6955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLAR",
"first_name": "/MARILOU",
"middle_name": "MCNALLY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810000718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7701772",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.