DR. JENNIFER LYNN MCCOLLUM PH.D.
NPI 1710296322
Psychologist - Clinical in Menlo Park, CA

Q: What is Jennifer Mccollum's NPI number?

The NPI number for Jennifer Mccollum is 1710296322. It was assigned to this individual provider in the NPPES registry on September 29, 2010.

Q: What is Jennifer Mccollum's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Jennifer Mccollum enrolled in Medicare?

No. Jennifer Mccollum has opted out of Medicare through September 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Mccollum was last updated on September 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 29, 2010Opted out of Medicare · through Sep 16, 2027

885 OAK GROVE AVE, SUITE 102-1, MENLO PARK, CA 94025(650) 427-9105 Get Directions Write a Review

NPPES record last updated: September 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jennifer Lynn Mccollum Ph.d. NPPES

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

DR. JENNIFER LYNN MCCOLLUM PH.D. (NPI 1710296322) is an individual clinical provider in Menlo Park, California, licensed in California (PSY23758) and active in the NPI registry since September 2010. She has opted out of Medicare through September 16, 2027.

NPPES Registry Identity

NPI1710296322

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JENNIFER LYNN MCCOLLUMCredential: PH.D.

Location Address885 OAK GROVE AVE, SUITE 102-1Menlo Park, CA 94025-4433

Mailing Address3755 Sundale RdLafayette, CA 94549-3503 · (650) 427-9105

Phone(650) 427-9105

Sole ProprietorYes

Enumeration DateSeptember 29, 2010

✔ NPI 1710296322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY23758

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

885 OAK GROVE AVE, Menlo Park, CA 94025

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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. Jennifer Lynn Mccollum Ph.d. 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 September 16, 2021 through September 16, 2027.

Opt-Out Effective DateSeptember 16, 2021

Opt-Out In Effect ThroughSeptember 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS GERARD PLANTE PH.D.

Psychologist (Clinical)

885 OAK GROVE AVE, SUITE 203
MENLO PARK, CA 94025

San Mateo County (408) 554-4471

REITMAN PHYSICAL THERAPY

Physical Therapist

885 OAK GROVE AVE, STE. 101
MENLO PARK, CA 94025

San Mateo County (650) 328-2250

DR. JOHN EDWARD RUARK M. D.

Psychiatry & Neurology (Psychiatry)

885 OAK GROVE AVE, SUITE 301
MENLO PARK, CA 94025

San Mateo County (650) 327-7100

MARGARET GORDON MD

Psychiatry & Neurology (Psychiatry)

885 OAK GROVE AVE, 201
MENLO PARK, CA 94025

San Mateo County (650) 326-2150

PENELOPE SCHREIBER LCSW

Social Worker (Clinical)

885 OAK GROVE AVE, STE 304-1
MENLO PARK, CA 94025

San Mateo County (650) 325-3065

DR. LORI GOLDFARB PLANTE PHD

Psychologist (Clinical)

885 OAK GROVE AVE, 203
MENLO PARK, CA 94025

San Mateo County (650) 326-5930

MS. CATHERINE M. MORRIS

Marriage & Family Therapist

885 OAK GROVE AVE, SUITE 207
MENLO PARK, CA 94025

San Mateo County (650) 508-8926

SHANELLE GALI

Nurse Practitioner (Family)

885 OAK GROVE AVE
MENLO PARK, CA 94025

San Mateo County (650) 308-4862

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 Jennifer Mccollum's NPI number?

The NPI number for Jennifer Mccollum is 1710296322. It was assigned to this individual provider in the NPPES registry on September 29, 2010.

Where is Jennifer Mccollum located?

Jennifer Mccollum practices at 885 Oak Grove Ave Suite 102-1, Menlo Park, CA 94025. The listed phone number is (650) 427-9105.

What is Jennifer Mccollum's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jennifer Mccollum enrolled in Medicare?

No. Jennifer Mccollum has opted out of Medicare through September 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Mccollum was last updated on September 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.