SARAH MALLARD WAKEFIELD (NPI# 1164689287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164689287 |
Entity Type | Individual |
Full Name | SARAH MALLARD WAKEFIELD |
Credential | M.D. |
Practice Address |
3601 4th St Stop 8104 Department of Psychiatry Lubbock TX 79430-8352 |
Mailing Address |
3601 4th St Stop 8103 Lubbock TX 79430-8103 |
Practice Telephone | 8067436164 |
Mailing Telephone | 8067432800 |
Enumeration Date | 2008-05-16 |
Last Update Date | 2019-11-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
Q0383 | TX | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Q0383 | TX | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Q0383 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 11765 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750709267 | Sarah Wakefield | Pharmacist | 9396 Creekwood Dr, Eden Prairie, MN 55347-2726 | 2014-04-01 |
1639314487 | Sarah Elizabeth Wakefield | Audiologist | 3901 S Atherton St Ste 6, State College, PA 16801-8324 | 2008-12-09 |
1386782951 | Sarah A Wakefield | Counselor | 345 W Auburn Rd, Auburn, ME 04210-8552 | 2007-02-03 |
1124531256 | Sarah Elizabeth Wakefield | Speech-Language Pathologist | 5750 Dtc Pkwy Ste 170, Greenwood Village, CO 80111-5483 | 2017-11-11 |
Street Address |
3601 4TH ST STOP 8104 DEPARTMENT OF PSYCHIATRY |
City | LUBBOCK |
State | TX |
Zip Code | 79430-8352 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730702473 | Emily Bouffard | Student in an Organized Health Care Education/Training Program | 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 | 2020-05-27 |
1891350310 | Erin Leigh Burton | Student in an Organized Health Care Education/Training Program | 3601 Fourth Street, Department of Surgery Ms 8312, Lubbock, TX 79430 | 2019-05-09 |
1851861439 | Zachery Brian Sneed | Counselor | 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 | 2018-11-27 |
1831683481 | Swagat Parajulee | Student in an Organized Health Care Education/Training Program | 3601 4th St., Stop 9410, Office 4b076, Lubbock, TX 79430 | 2018-06-18 |
1649711904 | William David Boothe Jr. | Dermatology | 3601 4th St Stop 6211, Lubbock, TX 79430 | 2017-03-19 |
1982144945 | Kazutaka Araki | Specialist/Technologist | 3601, 4th St, Lubbock, TX 79430 | 2017-02-24 |
1659725125 | Thomas Gregory Wyatt | Student in an Organized Health Care Education/Training Program | 3601 4th St Rm 3a122b, Lubbock, TX 79430 | 2016-04-20 |
1619391760 | Chinyere Mbagwu | General Practice | 3601 4th St # Ms 8143, Lubbock, TX 79430 | 2014-02-10 |
1982044111 | Eileen Mary Sprys | Family Medicine | 3601 4th St., Stop 8143, Lubbock, TX 79430 | 2013-07-02 |
1205196243 | Hilmi Alam | Family Medicine | Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 | 2012-05-24 |
Find all providers in zip 79430 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225059967 | Brigitte Curtis | Psychiatry & Neurology | 4401 A 6th St, Lubbock, TX 79416 | 2006-07-21 |
1790126332 | Astik Joshi | Psychiatry & Neurology | 3601 4th St # Ms 8103, Lubbock, TX 79430 | 2013-07-11 |
1215196142 | Boris Porto, M.d., P.a. | Psychiatry & Neurology | 4412 74th St, Suite E102, Lubbock, TX 79424-2328 | 2008-06-05 |
1801896089 | Elizabeth Jane Davidson | Psychiatry & Neurology | 1602 10th St, Lubbock, TX 79401-2607 | 2005-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
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1861090243 | Ridgewood Psychiatry Pllc | Psychiatry & Neurology | 832 Ridgewood St, Brownsville, TX 78520 | 2020-10-16 |
1013525591 | El Paso Healthyminds Psychiatry, Pllc | Psychiatry & Neurology | 509 Rosinante Rd, El Paso, TX 79922-2224 | 2020-07-21 |
1073131686 | Nishan D. Adihetty Md, Pllc | Psychiatry & Neurology | 2219 Sawdust Rd Ste 1004, Spring, TX 77380-2580 | 2020-07-09 |
1063039535 | Sun Psychiatry Pllc | Psychiatry & Neurology | 12217 Sitting Bull Dr, El Paso, TX 79936-7891 | 2020-07-01 |
1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
1720613532 | Ferruzzi Psychiatric Services, Pllc | Psychiatry & Neurology | 13409 Nw Military Hwy Ste 310, Shavano Park, TX 78231-1865 | 2020-03-12 |
1184276818 | Cesar Alejandro Soutullo Esperon | Psychiatry & Neurology | Ut Health, Department of Psychiatry, 1941 East Road, Houston, TX 77054-6010 | 2019-07-12 |
1881255594 | Aditya Sharma, Pllc | Psychiatry & Neurology | 4510 Medical Center Dr Ste 208, Mckinney, TX 75069-1602 | 2019-06-24 |
1154851590 | Stat Md Pllc | Psychiatry & Neurology | 2710 Sunset Strip Ste C, Greenville, TX 75402-3848 | 2017-06-18 |
1336693043 | Cognitive Psychiatry Pa | Psychiatry & Neurology | 1029 Highway 6 N, Ste 650-181, Houston, TX 77079-1043 | 2016-08-10 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.