DR. R. DOUGLAS MCCOLLUM (NPI# 1740319821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740319821 |
| Entity Type | Individual |
| Full Name | DR. R. DOUGLAS MCCOLLUM |
| Credential | PHD |
| Practice Address |
2101 47th St Moline IL 61265-3663 |
| Practice Telephone | 3097623931 |
| Practice Fax Number | 3097624938 |
| Mailing Telephone | 3097623931 |
| Mailing Fax Number | 3097624938 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 00213 | IA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
00512 | IA | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BCBS | 58957 | 01 |
| Street Address |
2101 47TH ST |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-3663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306929690 | Rebecca S. Morgan | Psychologist | 2101 47th St, Moline, IL 61265-3663 | 2006-10-23 |
| 1275616484 | Mccollum Psychology, PC | Psychologist | 2101 47th St, Moline, IL 61265-3663 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831134345 | New Perspectives | Psychologist | 3302 41st Street, Moline, IL 61265 | 2006-06-18 |
| 1336117571 | Julie A Weger | Psychologist | 3302 41st St, Moline, IL 61265-7830 | 2006-03-14 |
| 1275616484 | Mccollum Psychology, PC | Psychologist | 2101 47th St, Moline, IL 61265-3663 | 2006-10-23 |
| 1730288358 | Louis George Rip O'keefe | Psychologist | 2100 52nd Ave, Moline, IL 61265-6366 | 2006-09-21 |
| 1679584544 | Lynn M Garvin-huntley | Psychologist | 2100 52nd Ave, Moline, IL 61265-6366 | 2006-08-10 |
| 1528078987 | Gary Brent Ludwig | Psychologist | 2100 52nd Ave, Moline, IL 61265-6366 | 2006-08-09 |
| 1518977966 | Beth O'keefe | Psychologist | 2100 52nd Ave, Moline, IL 61265-6366 | 2006-08-08 |
| 1396755740 | Gary Nordick | Psychologist | 2100 52nd Ave, Moline, IL 61265-6366 | 2006-08-08 |
| 1548285356 | Thomas Paul Dhanens | Psychologist | 616 35th Ave, Private Practice, Moline, IL 61265-6158 | 2006-07-13 |
| 1760412068 | Genesis Health System | Psychologist | 2526 41st St, Moline, IL 61265-5016 | 2006-07-03 |
| Find all providers in MOLINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.