Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Thomas Allen Fulks, PSYD, LP

Individual provider Clinical Psychologist · NPI 1952555351

Dr. Thomas Allen Fulks, PSYD, LP is a Clinical Psychologist in Springfield, Missouri. Qualified in 2003, 23 years ago. Practices with Burrell Inc, a 215-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
23
Licensed in
MO
In the registry since
2008
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1350 E Bradford Pkwy
Springfield, MO 65804-4376
Phone: (417) 761-5850
Fax: (417) 761-5851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2018005289 (MO)

Record details

NPI number1952555351
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD , LP
Sole proprietorNo
NPI enumeratedNovember 11, 2008
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Burrell Inc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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