Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740319821 Individual Practitioner Male Practitioner

Dr. R. Douglas Mccollum , PhD

Psychologist • Moline, IL

Professional Overview & Biography Verified Profile Summary

Dr. R. Mccollum, PhD is a registered healthcare professional specializing in Psychologist in Moline, IL. Practice services are available at 2101 47TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2101 47th St

Moline, IL 612653663

Telephone 3097623931
Fax 3097624938
Associated Practice Facility / Clinic
🏢 Mccollum Psychology, Pc Facility NPI 1275616484

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Moline, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.7 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
10 Specialists

Practicing in Moline, IL (1075 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

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.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License IA 00213

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.

Psychologist - Clinical Child & Adolescent

NUCC Taxonomy Code: 103TC2200X

State License IA 00512

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Wellmark Bcbs
58957 (IA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Rebecca Morgan , PhD

Psychologist - Clinical

NPI 1306929690

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 25, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2007

Registered at 2101 47TH ST, MOLINE, IL 612653663 (Tel: 3097623931)

📍
Updated Business Mailing Address September 25, 2007

Registered at 2101 47TH ST, MOLINE, IL 612653663 (Tel: 3097623931)

👤
Provider Name / Credentials Updated September 25, 2007

Recorded as R. MCCOLLUM, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2007

Psychologist (License #00213 in IA)

🟢
Initial NPI Registration & Enumeration March 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1740319821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2007
Last Update: September 25, 2007
Sole Proprietor: No

Mailing Address

2101 47th St

Moline, IL 612653663

Phone: 3097623931

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.