William E. McCollum, M.D., P.a.

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

C-6457 Issued in AR

Legal business name

WILLIAM E. MCCOLLUM, M.D., P.A.

Practice address

201 N 36TH St
Rogers, AR 72756-1750

Phone

(479) 621-8600

NPI assigned

May 19, 2009

Organization subpart

No

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

Authorized official

Name

William McCollum, M.D.NPI 1396815627

Title

President

Phone

(479) 621-8600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• McCollum Psychiatric Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William E McCollum, M.D.

  • Psychiatry Physician
  • Rogers, AR
  • NPI 1396815627
  NPD Authorized official

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1992930903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N 36TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727561750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N 36TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727561750",
            "telephone_number": "479-621-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E. MCCOLLUM, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-621-8600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "AR",
            "license": "C-6457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101217001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCollum Psychiatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annesa Wilkins
• Melanie D Wilks, RD
• Kacy Lynn Willard, CCC-SLP
• Colby Willett
• Caroline Willey, MS, OTR/L
• Alexsis Williams, PHARMD
• Alicia Juvonna Williams, PMHNP
• Amena Rachel Williams
• Brandon Michael Williams, CRNA
• Janice L Williams, M.D.

• Prescribing (Medical) Psychologist in Rogers, AR
• Providers in Rogers, AR by specialty
• Prescribing (Medical) Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.