DR. PHILLIP GENE FELLWOCK PSY.D.
NPI 1396076923
Psychologist in Fort Leonard Wood, MO
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
Specialties & Licenses
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).
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.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.