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

NPI Status: Active since September 29, 2010

Contact Information

885 OAK GROVE AVE
SUITE 102-1
MENLO PARK, CA
ZIP 94025
Phone: (650) 427-9105

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  • Individual
  • Female
  • Psychologist
  • Clinical
  • Opted-Out Medicare

About JENNIFER MCCOLLUM

This page provides the complete NPI Profile along with additional information for Jennifer Mccollum, a provider established in Menlo Park, California with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1710296322 assigned on September 2010. The practitioner's primary taxonomy code is 103TC0700X with license number PSY23758 (CA). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1710296322
Provider Name
DR. JENNIFER LYNN MCCOLLUM PH.D.
Gender
Female
Entity Type
Individual
Location Address
885 OAK GROVE AVE SUITE 102-1 MENLO PARK, CA 94025
Location Phone
(650) 427-9105
Mailing Address
3755 SUNDALE RD LAFAYETTE, CA 94549
Mailing Phone
(650) 427-9105
Is Sole Proprietor?
Yes
Enumeration Date
09-29-2010
Last Update Date
09-29-2010
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A clinical psychologist like Jennifer Mccollum assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jennifer Mccollum opted out of Medicare effective on 09-16-2021 until 09-16-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PSY23758
License State
CA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 09-16-2021

  • Opt-Out End Date: 09-16-2027

  • Eligible to Order and Refer? No

Reviews for DR. JENNIFER LYNN MCCOLLUM PH.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710296322, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 4 + 9 + 1 + 2 + 3 + 4 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1710296322.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Psychologist (Clinical)
885 OAK GROVE AVE, SUITE 203
MENLO PARK, CA 94025
Psychologist (Clinical)
885 OAK GROVE AVE, 203
MENLO PARK, CA 94025
Counselor (Mental Health)
885 OAK GROVE AVE, SUITE 212
MENLO PARK, CA 94025
Counselor (Mental Health)
885 OAK GROVE AVE, STE 102-1
MENLO PARK, CA 94025
Psychiatry & Neurology (Psychiatry)
885 OAK GROVE AVE, SUITE 301
MENLO PARK, CA 94025
Psychiatry & Neurology (Psychiatry)
885 OAK GROVE AVE, 201
MENLO PARK, CA 94025
Psychiatry & Neurology (Psychiatry)
885 OAK GROVE AVE, #209
MENLO PARK, CA 94025
Marriage & Family Therapist
885 OAK GROVE AVE
MENLO PARK, CA 94025
Social Worker (Clinical)
885 OAK GROVE AVE, STE 304-1
MENLO PARK, CA 94025
Marriage & Family Therapist
885 OAK GROVE AVE, SUITE 207
MENLO PARK, CA 94025
Psychologist (Clinical)
885 OAK GROVE AVE, SUITE 303
MENLO PARK, CA 94025
Psychiatry & Neurology (Psychiatry)
885 OAK GROVE AVE, SUITE # 304
MENLO PARK, CA 94025
Internal Medicine
885 OAK GROVE AVE, #212
MENLO PARK, CA 94025
Psychiatry & Neurology (Psychiatry)
885 OAK GROVE AVE, SUITE 102-5
MENLO PARK, CA 94025
Physical Therapist
885 OAK GROVE AVE, STE. 101
MENLO PARK, CA 94025
Nurse Practitioner (Family)
885 OAK GROVE AVE
MENLO PARK, CA 94025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710296322, enumerated as an "individual" on September 29, 2010.

The provider is located at 885 OAK GROVE AVE SUITE 102-1 MENLO PARK, CA 94025 and the phone number is (650) 427-9105.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.