Julie Ann Kellaway, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0003872 Issued in CO

Practice address

1762 Hoffman Dr
Loveland, CO 80538-4292

Phone

(970) 541-8134

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: juliekellaway@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Psychologist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1235299199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 HOFFMAN DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384292",
            "telephone_number": "970-541-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 HOFFMAN DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384292",
            "telephone_number": "970-541-8134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2553 Barry Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805249366",
            "country_code": "US",
            "telephone_number": "970-541-8134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLAWAY",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "CO3872",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0003872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87930544",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Hattel Harmon, DDS PC
• Dilasha Katwal, M.D.
• Taylor Katz
• Kevin Wayne Keefe, DO
• Bradford R Keeler, MD
• Patricia L. Keller, FNP-C, LNS, RN, SANE
• Megan Kelley
• Mary Lucy Kellogg, CCC-SLP
• Kathryn Kellum
• Laurie Underwood Kellum, MA, LPC

• Clinical Psychologist in Loveland, CO
• Providers in Loveland, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.