Individual provider Active NPI

Brendan Patrick McCollum, M.D.

  • Psychiatry Physician
  • Gardena, CA
National Provider Identifier
1942602123
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA09556000 Issued in NJ
Practice address
1225 W 190TH St Ste 280
Gardena, CA 90248-4305
Phone
(877) 515-8113
NPI assigned
Sep 19, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA09556000 NJ Primary

Addresses

Primary practice location

1225 W 190TH St Ste 280
Gardena, CA 90248-4305

Mailing address

19 Holly St
Cranford, NJ 07016-2158
Phone (908) 273-2000

Other practice location 1

655 E Jersey St
Elizabeth, NJ 07206-1259
Phone (908) 994-7552

Other practice location 2

19 Holly St
Cranford, NJ 07016-2158
Phone (908) 273-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160407002105 NJ Practitioner - Psychiatry 5698073658 Reassigns benefits to 4 organizations
I20251023003669 CA Practitioner - Psychiatry 5698073658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ehab Yacoub MD IncGroup PAC ID 5092099523, 179 clinicians

Practice addresses (Care Compare)

1225 W 190TH St
Suite 280
Gardena, CA 90248-4305
Phone (877) 515-8113

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09556000NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Medical Center Psychiatry CurrentSince Nov 30, 2019 Accepting new patients
HMH Carrier Behavioral Health Inc CurrentSince Jul 15, 2019 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Feb 29, 2016 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC CurrentSince Mar 1, 2021 Accepting new patients
HMH Carrier Behavioral Health Inc CurrentSince Jul 15, 2019 Accepting new patients
Hunterdon Medical Center CurrentSince Nov 30, 2019 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Oct 8, 2025 Accepting new patients

Locations

500 La Terraza Blvd
Ste 150
Escondido, CA 92025
Phone (760) 232-6788

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

3200 E Guasti Rd
Ste 100
Ontario, CA 91761
Phone (877) 414-7739

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

252 Route 601
Belle Mead, NJ 08502
Phone (800) 379-1949

19 Holly St
Cranford, NJ 07016
Phone (908) 272-7500

190 State Route 31
Ste 100
Flemington, NJ 08822
Phone (908) 788-6654

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1942602123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HOLLY ST",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162158",
            "telephone_number": "908-273-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W 190TH ST STE 280",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484305",
            "telephone_number": "877-515-8113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 E Jersey St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072061259",
            "country_code": "US",
            "telephone_number": "908-994-7552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Holly St",
            "address_purpose": "LOCATION",
            "city": "Cranford",
            "state": "NJ",
            "postal_code": "070162158",
            "country_code": "US",
            "telephone_number": "908-273-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "BRENDAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-19",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09556000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.