Allyson Nicole Fellows, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY12389 Issued in FL

Practice address

23334 Peachland Blvd
Port Charlotte, FL 33954-3650

Phone

(214) 616-6575

NPI assigned

Mar 26, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychotherapy With Allyson Fellows, LLC

  • Adult Mental Health Clinic/Center
  • Port Charlotte, FL
  • NPI 1093527772
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1043897804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23334 PEACHLAND BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339543650",
            "telephone_number": "214-616-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23334 PEACHLAND BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339543650",
            "telephone_number": "214-616-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "ALLYSON",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fawcett Memorial Hospital, Inc.
• Michelle Fede
• Paul M Feit, DDS
• Jody Alan Feldman, MD
• Alexandra Feliz Camilo, MD
• Ellen Ferguson
• Humberto Homero Fernandez Moreno
• Christie Fernandez
• Luis F Fernandez, MD
• Martha Fernandez

• Clinical Psychologist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.