Individual provider Active NPI

Sarah Mallard Wakefield, M.D.

  • Child & Adolescent Psychiatry Physician
  • Lubbock, TX
National Provider Identifier
1164689287
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
Q0383 Issued in TX
Practice address
3601 4TH St Stop 8104
Department of Psychiatry
Lubbock, TX 79430-8352
Phone
(806) 743-6164
NPI assigned
May 16, 2008
Last updated
Nov 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X Q0383 TX
Psychiatry Physician 2084P0800X Q0383 TX
Child & Adolescent Psychiatry Physician 2084P0804X Q0383 TX Primary

Addresses

Primary practice location

3601 4TH St Stop 8104
Department of Psychiatry
Lubbock, TX 79430-8352

Mailing address

3601 4TH St Stop 8103
Lubbock, TX 79430-8103
Phone (806) 743-2800

Other identifiers 1

IdentifierTypeStateIssuer
11765MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ttupsych@direct.myteamcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141231001678 TX Practitioner - Psychiatry 7113162736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical Branch at Galveston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3601 4TH St
1A122
Lubbock, TX 79430-8103
Phone (806) 743-2800

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q0383TXMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Nov 17, 2014 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Psychiatry CurrentSince Nov 17, 2014 Accepting new patients
Texas Texas University Health Sciences Center PastSince Nov 24, 2019 Accepting new patients

Locations

3601 4th St
#1A122
Lubbock, TX 79430
Phone (806) 743-2391

3601 4th St
Stop 8103
Lubbock, TX 79430
Phone (806) 743-2800

3601 4th St
Stop 8104
Lubbock, TX 79430
Phone (806) 743-6164

4000 24th St
#410
Lubbock, TX 79410
Phone (806) 743-7700

Interoperability endpoints

  • Direct secure messaging: sarah.wakefield@direct.myteamcare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1164689287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 4TH ST STOP 8103",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794308103",
            "telephone_number": "806-743-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST STOP 8104",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794308352",
            "telephone_number": "806-743-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "SARAH",
        "middle_name": "MALLARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "TX",
            "license": "Q0383",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q0383",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "Q0383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11765",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ttupsych@direct.myteamcare.com",
            "affiliation": "N",
            "address_1": "3601 4th St Stop 8104",
            "address_2": "Department of Psychiatry",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794308352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.