Active NPI
Kenneth J Fattmann, MD
- Psychiatry Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- R2P36
- Practice address
- 930 S Robberson Ave
Springfield, MO 65806-3220 - Phone
- (417) 893-7770
- NPI assigned
- Apr 3, 2007
- Last updated
- Oct 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | R2P36 | MO | Primary |
Addresses
Primary practice location
930 S Robberson Ave
Springfield, MO 65806-3220
Mailing address
PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5000
Other practice location 1
17844 E 23rd St S
Independence, MO 64057-1840
Phone (816) 254-3652
Other practice location 2
1300 E Bradford Pkwy Bldg A
Springfield, MO 65804-4264
Phone (417) 761-5000
Other practice location 3
2411 W Catalpa St
Springfield, MO 65807-1123
Phone (417) 862-3455
Other practice location 4
1805 E Walnut St
Columbia, MO 65201-6425
Phone (573) 777-7500
Other practice location 5
4066 Dunnica Ave
Saint Louis, MO 63116-3510
Phone (636) 224-1700
Other practice location 6
3401 Berrywood Dr
Columbia, MO 65201-8372
Phone (573) 777-8330
Other practice location 7
17421 Medical Center Pkwy
Independence, MO 64057-1805
Phone (816) 455-9975
Other practice location 8
323 E Grand St
Springfield, MO 65807-1447
Phone (417) 761-5600
Other practice location 9
4231 S Hocker Dr
Independence, MO 64055-4723
Phone (816) 254-3652
Other practice location 10
1322 S Campbell Ave
Springfield, MO 65807-1445
Phone (417) 761-7760
Other practice location 11
612 E Elm St
Republic, MO 65738-1552
Phone (417) 761-5511
Other practice location 12
1795 W Main St
Sedalia, MO 65301-3634
Phone (660) 285-9270
Other practice location 13
840 Passover Rd
Osage Beach, MO 65065
Phone (573) 302-0319
Other practice location 14
4480 Gretna Rd
Branson, MO 65616-7202
Phone (417) 761-5492
Other practice location 15
800 S Park Ave
Springfield, MO 65802-4855
Phone (417) 893-7735
Other practice location 16
2748 N National Ave
Springfield, MO 65803-4304
Phone (417) 761-5495
Other practice location 17
14310 E 42nd St S
Independence, MO 64055-7308
Phone (816) 254-3652
Other practice location 18
7447 Holmes Rd
Kansas City, MO 64131-1691
Phone (816) 836-6720
Other practice location 19
17611 E US Highway 24
Independence, MO 64056-1853
Phone (816) 836-6350
Other practice location 20
2415 W Catalpa St
Springfield, MO 65807-1123
Phone (417) 893-7770
Other practice location 21
17886 E 23rd St S
Independence, MO 64057-1840
Phone (816) 254-3654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
840 Passover Rd
Osage Beach, MO 65065-2834
Phone (573) 302-0319
930 S Robberson Ave
Burrell Behavioral Health
Springfield, MO 65806-3220
Phone (417) 893-7770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burrell, Inc. | Current | Accepting new patients | |
| Burrell, Inc. | Current | Accepting new patients | |
| Preferred Family Healthcare, Inc. | Current | Accepting new patients | |
| Preferred Family Healthcare, Inc | Current | Accepting new patients | |
| Osage Beach Center for Behavioral Health, LLC | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
4480 Gretna Rd
Branson, MO 65616
Phone (417) 334-2114
1805 E Walnut St
Columbia, MO 65201
Phone (573) 777-7500
3401 Berrywood Dr
Columbia, MO 65201
Phone (573) 777-7530
17421 Medical Center Pkwy
Independence, MO 64057
Phone (816) 356-2000
17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716
17886 E 23rd St S
Independence, MO 64057
Phone (816) 254-3654
4231 S Hocker Dr
Independence, MO 64055
Phone (816) 350-3103
7447 Holmes Rd
Kansas City, MO 64131
Phone (816) 569-6360
900 E Laharpe St
Kirksville, MO 63501
840 Passover Rd
Osage Beach, MO 65065
Phone (573) 302-0319
612 E Elm St
Republic, MO 65738
Phone (417) 732-5575
4066 Dunnica Ave
Saint Louis, MO 63116
Phone (314) 361-1630
1300 E Bradford Pkwy
Springfield, MO 65804
Phone (417) 269-5400
1300 E Bradford Pkwy
#H
Springfield, MO 65804
1300 E Bradford Pkwy
Bldg A
Springfield, MO 65804
Phone (417) 767-2273
1322 S Campbell Ave
Springfield, MO 65807
Phone (417) 761-7760
323 E Grand St
Springfield, MO 65807
Phone (417) 761-5600
800 S Park Ave
Springfield, MO 65802
Phone (417) 893-7700
930 S Robberson Ave
Springfield, MO 65806
Phone (417) 761-5540
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Burrell Behavioral Health
- Community/Behavioral Health Agency
- Springfield, MO
- NPI 1275541740
-
dba Osage Beach Center for Behavioral Health
- Psychiatric Hospital
- Osage Beach, MO
- NPI 1790115939
-
- Community/Behavioral Health Agency
- Kirksville, MO
- NPI 1649474206
-
dba Clarity Healthcare
- Federally Qualified Health Center (FQHC)
- Hannibal, MO
- NPI 1306721709
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793145600000",
"number": "1922129170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844715",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641844715",
"telephone_number": "417-761-5000",
"fax_number": "417-761-5631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 S ROBBERSON AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658063220",
"telephone_number": "417-893-7770"
}
],
"practiceLocations": [
{
"address_1": "17844 E 23rd St S",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "MO",
"postal_code": "640571840",
"country_code": "US",
"telephone_number": "816-254-3652",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 E Bradford Pkwy Bldg A",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658044264",
"country_code": "US",
"telephone_number": "417-761-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2411 W Catalpa St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658071123",
"country_code": "US",
"telephone_number": "417-862-3455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1805 E Walnut St",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652016425",
"country_code": "US",
"telephone_number": "573-777-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4066 Dunnica Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631163510",
"country_code": "US",
"telephone_number": "636-224-1700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 Berrywood Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652018372",
"country_code": "US",
"telephone_number": "573-777-8330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17421 Medical Center Pkwy",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "MO",
"postal_code": "640571805",
"country_code": "US",
"telephone_number": "816-455-9975",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "323 E Grand St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658071447",
"country_code": "US",
"telephone_number": "417-761-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4231 S Hocker Dr",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "MO",
"postal_code": "640554723",
"country_code": "US",
"telephone_number": "816-254-3652",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1322 S Campbell Ave",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658071445",
"country_code": "US",
"telephone_number": "417-761-7760",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "612 E Elm St",
"address_purpose": "LOCATION",
"city": "Republic",
"state": "MO",
"postal_code": "657381552",
"country_code": "US",
"telephone_number": "417-761-5511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1795 W Main St",
"address_purpose": "LOCATION",
"city": "Sedalia",
"state": "MO",
"postal_code": "653013634",
"country_code": "US",
"telephone_number": "660-285-9270",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "840 Passover Rd",
"address_purpose": "LOCATION",
"city": "Osage Beach",
"state": "MO",
"postal_code": "65065",
"country_code": "US",
"telephone_number": "573-302-0319",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4480 Gretna Rd",
"address_purpose": "LOCATION",
"city": "Branson",
"state": "MO",
"postal_code": "656167202",
"country_code": "US",
"telephone_number": "417-761-5492",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 S Park Ave",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658024855",
"country_code": "US",
"telephone_number": "417-893-7735",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2748 N National Ave",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658034304",
"country_code": "US",
"telephone_number": "417-761-5495",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14310 E 42nd St S",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "MO",
"postal_code": "640557308",
"country_code": "US",
"telephone_number": "816-254-3652",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7447 Holmes Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641311691",
"country_code": "US",
"telephone_number": "816-836-6720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17611 E US Highway 24",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "MO",
"postal_code": "640561853",
"country_code": "US",
"telephone_number": "816-836-6350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2415 W Catalpa St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658071123",
"country_code": "US",
"telephone_number": "417-893-7770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17886 E 23rd St S",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "MO",
"postal_code": "640571840",
"country_code": "US",
"telephone_number": "816-254-3654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FATTMANN",
"first_name": "KENNETH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2026-10-28",
"certification_date": "2026-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "R2P36",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.