Phillip Fellwock, PSY.D.
NPI 1396076923 · Psychologist · Fort Leonard Wood, MO
Enrolled with Medicare as Order and Referring Only - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phillip Fellwock, PSY.D. is a Psychologist provider in Fort Leonard Wood, MO (NPI 1396076923).
Provider details
- NPI number
- 1396076923
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2008029040 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-01-21
- Last updated
- 2026-04-17
- Certified
- 2026-04-17
Frequently asked questions
- What is Phillip Fellwock's NPI number?
- Phillip Fellwock's National Provider Identifier (NPI) is 1396076923, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phillip Fellwock's specialty?
- Phillip Fellwock is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Phillip Fellwock located?
- Phillip Fellwock's practice location on file with NPPES is 4234 Illinois Ave, Fort Leonard Wood, MO 65473-9098.
- What is Phillip Fellwock's phone number?
- The practice phone number listed in the NPPES registry for Phillip Fellwock is (417) 235-2320.
- Does Phillip Fellwock accept Medicare?
- Phillip Fellwock is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Phillip Fellwock's NPI active?
- Yes — Phillip Fellwock's NPI (1396076923) is active in the NPPES registry as of the last update on 2026-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.