Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538211230 Individual Practitioner Male Practitioner

Dr. Thomas J Spencer , PsyD

Psychologist • Fulton, MO

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Spencer, PsyD is a registered healthcare professional specializing in Psychologist in Fulton, MO. Practice services are available at 2625 FAIRWAY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2625 Fairway Dr
Suite E

Fulton, MO 652513936

Telephone 5736421775
Fax 5736421850
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Fulton, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
15 Specialists

Practicing in Fulton, MO (635 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MO 2003030098

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.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License MO 2003030098

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Psychologist - Forensic

NUCC Taxonomy Code: 103TF0200X

State License MO 2003030098

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
498312305 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1245665801

Master of Social Work, Licensed Master Social Worker

Erica Coil , PTA

Physical Therapy Assistant

NPI 1326069410

Physical Therapist Assistant

Alyssa Toalson , PT

Physical Therapist

NPI 1548530355

Physical Therapist

Donna Merritt , M ED

Counselor - Mental Health

NPI 1669653408

Master of Education

Anne Rulo , SMFT, PLPC

Counselor - Professional

NPI 1700161718
Cynthia Chalfant , LPC

Counselor - Professional

NPI 1740319649

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active March 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2017

Registered at 2625 FAIRWAY DR, SUITE E, FULTON, MO 652513936 (Tel: 5736421775)

📍
Updated Business Mailing Address March 28, 2017

Registered at 2625 FAIRWAY DR, SUITE E, FULTON, MO 652513936 (Tel: 5736421775)

👤
Provider Name / Credentials Updated March 28, 2017

Recorded as THOMAS SPENCER, PSY D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2017

Psychologist (License #2003030098 in MO)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2625 FAIRWAY DR, SUITE E, FULTON, MO 652513936 (Tel: 5736421775)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2625 FAIRWAY DR, SUITE E, FULTON, MO 652513936 (Tel: 5736421775)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS SPENCER, PSY D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #2003030098 in MO)

🟢
Initial NPI Registration & Enumeration January 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538211230
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2007
Last Update: March 28, 2017
Sole Proprietor: No

Mailing Address

2625 Fairway Dr, Suite E

Fulton, MO 652513936

Phone: 5736421775

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.