Individual provider Active NPI

Julie Ellis Tollemache, D.O.

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1477964526
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R0968 Issued in TX
Practice address
1600 W 38TH St Ste 212
Austin, TX 78731-6405
Phone
(512) 324-3315
Fax
(512) 324-3314
NPI assigned
May 12, 2014
Last updated
Dec 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R0968 TX Primary

Addresses

Primary practice location

1600 W 38TH St Ste 212
Austin, TX 78731-6405

Mailing address

1345 Philomena St # 305
Austin, TX 78723-3210
Phone (512) 324-2082

Other names 1

  • Dr. Julie Ann Ellis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R0968TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Tollemache, DO, PLLC Psychiatry CurrentSince Aug 25, 2024 Accepting new patients
Burke Center PastSince Dec 2, 2019 Accepting new patients

Locations

411 E 45th St
Austin, TX 78751
Phone (512) 451-5726

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1477964526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 PHILOMENA ST # 305",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233210",
            "telephone_number": "512-324-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST STE 212",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316405",
            "telephone_number": "512-324-3315",
            "fax_number": "512-324-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLEMACHE",
        "first_name": "JULIE",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R0968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ELLIS",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 11, 2018; 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.