DR. MICHAEL ANTHONY KOLLAR EDD
NPI 1124120225
Psychologist - Cognitive & Behavioral in Charleston, SC

Active since September 01, 2006Opted out of Medicare · through Jan 1, 2027
1173 SOUTHGATE DRIVE, SUITE B, CHARLESTON, SC 29407(843) 769-5310(843) 571-6852 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Anthony Kollar Edd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL ANTHONY KOLLAR EDD (NPI 1124120225) is an individual cognitive & behavioral provider in Charleston, South Carolina, licensed in South Carolina (415) and active in the NPI registry since September 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124120225
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameDR. MICHAEL ANTHONY KOLLARCredential: EDD
Location Address1173 SOUTHGATE DRIVE, SUITE BCharleston, SC 29407
Mailing Address1173 Southgate Drive, Suite BCharleston, SC 29407 · (843) 769-5310 · Fax (843) 571-6852
Fax(843) 571-6852
Sole ProprietorNo
Enumeration DateSeptember 1, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1124120225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License Licensed in SC · 415
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedPsychologistTaxonomy 103T00000X · License 415 (SC)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 415 (SC)
1173 SOUTHGATE DRIVE, Charleston, SC 29407

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Michael Anthony Kollar Edd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2013 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2013
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Kollar's NPI number?

The NPI number for Michael Kollar is 1124120225. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Michael Kollar located?

Michael Kollar practices at 1173 Southgate Drive Suite B, Charleston, SC 29407. The listed phone number is (843) 769-5310.

What is Michael Kollar's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Michael Kollar enrolled in Medicare?

No. Michael Kollar has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michael Kollar was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.