Active NPI
Twmk2
- Clinical Psychologist
- Saint Louis, MO
National Provider Identifier
1205512969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- TWMK2
- Practice address
- 103 W Lockwood Ave Ste 204
Saint Louis, MO 63119-2945 - Phone
- (773) 672-2342
- Fax
- (773) 825-8219
- NPI assigned
- Jun 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Travis Wood Munnerlyn, PSYD
- Title
- Owner/President
- Phone
- (773) 677-0937
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
103 W Lockwood Ave Ste 204
Saint Louis, MO 63119-2945
Mailing address
451 Alice Ave
Kirkwood, MO 63122-6304
Phone (773) 677-0937
Other names 1
- Dr. Travis Wood Munnerlyn
National Provider Directory
National Provider DirectoryLocations
7396 Pershing Ave
University City, MO 63130
Phone (314) 333-9474
103 W Lockwood Ave
Ste 204
Webster Groves, MO 63119
Phone (314) 441-6605
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Saint Louis, MO
- NPI 1144690231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786406400000",
"number": "1205512969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 ALICE AVE",
"city": "KIRKWOOD",
"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": "773-672-2342",
"fax_number": "773-825-8219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWMK2",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-26",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A",
"authorized_official_last_name": "MUNNERLYN",
"authorized_official_first_name": "TRAVIS",
"authorized_official_middle_name": "WOOD",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "773-677-0937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. Travis Wood Munnerlyn",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.