Active NPI
Annie Holleman
- Psychologist
- Austin, TX
National Provider Identifier
1184148140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 38317
- Practice address
- 2520 Longview St Ste 410
Austin, TX 78705-4257 - Phone
- (503) 258-4200
- NPI assigned
- Aug 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 38317 | TX | Primary |
Addresses
Primary practice location
2520 Longview St Ste 410
Austin, TX 78705-4257
Mailing address
2520 Longview St Ste 410
Austin, TX 78705-4257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 14, 2025 through May 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38317 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holleman Psychological Services, PLLC | Current | Accepting new patients | |
| Morrison Child and Family Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Raleigh, NC
- NPI 1275304024
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, OR
- NPI 1346382975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1184148140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 LONGVIEW ST STE 410",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787054257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 LONGVIEW ST STE 410",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787054257",
"telephone_number": "503-258-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEMAN",
"first_name": "ANNIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2022-07-21",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "38317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.