Wilmer E Amos, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P 1201 Issued in TN

Practice address

5384 Poplar Ave
Suite 313
Memphis, TN 38119-3609

Phone

(901) 237-0261

Fax

(901) 683-2058

NPI assigned

Nov 9, 2005

Last updated

Aug 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Optimum Behavioral Health, Inc.

  • Clinical Psychologist
  • Memphis, TN
  • NPI 1689655268
  Medicare reassignment NPD
• Midsouth Behavioral Health, PLLC

  • Clinical Psychologist
  • Olive Branch, MS
  • NPI 1912084286
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1578527172
  Care Compare affiliation

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1134100712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5384 POPLAR AVE",
            "address_2": "SUITE 313",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193609",
            "telephone_number": "901-237-0261",
            "fax_number": "901-683-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5384 POPLAR AVE",
            "address_2": "SUITE 313",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193609",
            "telephone_number": "901-237-0261",
            "fax_number": "901-683-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOS",
        "first_name": "WILMER",
        "middle_name": "E",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "32483",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P   1201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112244",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amisub (SFH), Inc. (Saint Francis Hospital)
• Peter B. Amminger, MD
• Richard J. Amodeo, DC
• Rex Allen Amonette, MD
• Alexis Dunn Amore, CNM
• Amp Medical Management, LLC
• Ata Amro
• Malak Amro
• Naser Eyad Amro, MD
• Jeffrey David Amstutz, DDS

• Clinical Psychologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.

Verify at the official NPI Registry.