DR. PHILLIP GENE FELLWOCK PSY.D.
NPI 1396076923
Psychologist in Fort Leonard Wood, MO

Active since January 21, 2010PECOS Enrolled
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473(417) 235-2320 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 17, 2026, Feb 9, 2023 (2 updates tracked since 2023).

About Dr. Phillip Gene Fellwock Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILLIP GENE FELLWOCK PSY.D. (NPI 1396076923) is an individual psychologist in Fort Leonard Wood, Missouri, licensed in Missouri (2008029040) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396076923
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. PHILLIP GENE FELLWOCKCredential: PSY.D.
Location Address4234 ILLINOIS AVEFort Leonard Wood, MO 65473-9098
Mailing Address4234 Illinois AveFort Leonard Wood, MO 65473-9098 · (417) 235-2320
Sole ProprietorYes
Enumeration DateJanuary 21, 2010
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
NPI 1396076923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MO · 2008029040
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

4234 ILLINOIS AVE, Fort Leonard Wood, MO 65473

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Phillip Gene Fellwock Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Social Worker (Clinical)
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Family Medicine
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Psychologist (Clinical)
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Military Hospital (Military General Acute Care Hospital)
4234 ILLINOIS AVE, BOX 1242
FORT LEONARD WOOD, MO 65473
Dietitian, Registered
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Nurse Practitioner (Family)
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Physician Assistant
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Fellwock's NPI number?

The NPI number for Phillip Fellwock is 1396076923. It was assigned to this individual provider in the NPPES registry on January 21, 2010.

Where is Phillip Fellwock located?

Phillip Fellwock practices at 4234 Illinois Ave, Fort Leonard Wood, MO 65473. The listed phone number is (417) 235-2320.

What is Phillip Fellwock's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Phillip Fellwock enrolled in Medicare?

Yes. Phillip Fellwock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillip Fellwock was last updated on April 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.