Individual provider Active NPI

Felix T Vincenz, PH.D.

  • Clinical Psychologist
  • Saint Charles, MO
National Provider Identifier
1942244629
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY01157 Issued in MO
Practice address
29 Towerbridge PL
Saint Charles, MO 63303-4800
Phone
(573) 808-4462
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY01157 MO Primary

Addresses

Primary practice location

29 Towerbridge PL
Saint Charles, MO 63303-4800

Mailing address

29 Towerbridge PL
Saint Charles, MO 63303-4800
Phone (573) 808-4462

Other identifiers 1

IdentifierTypeStateIssuer
493264824MedicaidMO

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050819000832 MO Practitioner - Clinical Psychologist 6305749193 Practice locations: Saint Charles, MO; Saint Louis, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29 Towerbridge PL
Saint Charles, MO 63303-4800
Phone (573) 808-4462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY01157MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Curators of the University of Missouri Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1942244629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 TOWERBRIDGE PL",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034800",
            "telephone_number": "573-808-4462",
            "fax_number": "314-877-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 TOWERBRIDGE PL",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034800",
            "telephone_number": "573-808-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENZ",
        "first_name": "FELIX",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PY01157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493264824",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.