Individual provider Active NPI

Tom Collins, PH.D.

  • Clinical Psychologist
  • Charlottesville, VA
National Provider Identifier
1821030719
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001769 Issued in VA
Practice address
300 Preston Ave
Suite 308
Charlottesville, VA 22902-5044
Phone
(434) 242-0699
Fax
(434) 244-3772
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

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
0810001769VAMDClinical Psychologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810001769 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

300 Preston Ave
Suite 308
Charlottesville, VA 22902-5044

Mailing address

300 Preston Ave
Suite 308
Charlottesville, VA 22902-5044
Phone (434) 242-0699

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821030719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PRESTON AVE",
            "address_2": "SUITE 308",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025044",
            "telephone_number": "434-242-0699",
            "fax_number": "434-244-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PRESTON AVE",
            "address_2": "SUITE 308",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025044",
            "telephone_number": "434-242-0699",
            "fax_number": "434-244-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "TOM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.