Travis Wood Munnerlyn, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

103 W Lockwood Ave Ste 204
Saint Louis, MO 63119-2945

Phone

(773) 677-0937

NPI assigned

Oct 1, 2015

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Twmk2

  • Clinical Psychologist
  • Saint Louis, MO
  • NPI 1205512969
  NPD Authorized official
• Brain-Body Wellness and Biofeedback

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1477095024
  NPD (past)

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1144690231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 ALICE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226304",
            "telephone_number": "773-677-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W LOCKWOOD AVE STE 204",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192945",
            "telephone_number": "773-677-0937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 N 36th St Ste 114",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850183473",
            "country_code": "US",
            "telephone_number": "773-677-0937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNNERLYN",
        "first_name": "TRAVIS",
        "middle_name": "WOOD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-01",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabil A Munfakh, MD
• Zoe Beth Munie, DPT
• Mary Kathryn C Muniz, MA, PLPC
• Beth Munkwitz
• Emma Munn, BCBA
• Alysha Renee Munoz, O.T.
• Ma Markiesha Munoz, DNP, FNP-C
• Lauren E Munsch Dal Farra, M.D.
• Junaid Munshi, M.D.
• Samiyah Munshi, PHARMD

• Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.