SARAH MALLARD WAKEFIELD M.D. NPI 1164689287

NPI Information

NPI: 1164689287
Provider Name: SARAH MALLARD WAKEFIELD, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Organization: TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK

PECOS Registration: Yes

Address:
3601 4TH ST STOP 8104
DEPARTMENT OF PSYCHIATRY
LUBBOCK, TX
ZIP 79430
Phone: (806) 743-6164
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Sarah Mallard Wakefield, M.D. is a child and adolescent psychiatry psychiatry neurology in Lubbock, TX with 16 years of experience. The provider is 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. Sarah Mallard Wakefield, M.D. NPI is 1164689287. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:2008

The provider's business location address is:

3601 4TH ST STOP 8104
DEPARTMENT OF PSYCHIATRY
LUBBOCK, TX
ZIP 79430-352
Phone: (806) 743-6164

The NPI 1164689287 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/16/2008 and was last updated on 11/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084F0202X	Psychiatry & Neurology	Forensic Psychiatry	Q0383	TEXAS	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	Q0383	TEXAS	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	Q0383	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11765	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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