Dr. Michael Anthony Kollar, EDD
Psychologist, Cognitive & Behavioral in Charleston, SC. Individual provider (NPI-1).
NPI number1124120225
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1124120225
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Anthony Kollar
- Credential
- EDD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2006
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- Medicare opt-out
- Jan 1, 2013 to Jan 1, 2027
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TB0200X | Psychologist, Cognitive & Behavioral | 415 | SC | Yes |
| 103T00000X | Psychologist | 415 | SC | |
| 103TC1900X | Psychologist, Counseling | 415 | SC |
Practice location
1173 Southgate DriveSuite B
Charleston, SC 29407
Phone 843-769-5310 · Fax 843-571-6852
Mailing address
1173 Southgate DriveSuite B
Charleston, SC 29407
Phone 843-769-5310 · Fax 843-571-6852
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Cognitive & Behavioral Psychologist providers in Charleston, SC
- Shannon S Doughty, PHD, BCBANPI 1700947751
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- Peter Tuerk, M.A.NPI 1982819538
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All 5 Cognitive & Behavioral Psychologist providers in Charleston · All 12,657 providers in Charleston
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