NPIMap

Individual provider Active NPI

Wail Amor, MD

  • Psychiatry Physician
  • Lubbock, TX
National Provider Identifier
1376064543
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
T1279 Issued in TX
Practice address
3601 4TH St # Ms 8103
Lubbock, TX 79430-0002
Phone
(806) 743-6162
Fax
(806) 743-2784
NPI assigned
Jun 28, 2017
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X T1279 TX Primary

Addresses

Primary practice location

3601 4TH St # Ms 8103
Lubbock, TX 79430-0002

Mailing address

3601 4TH St # Ms 8103
Lubbock, TX 79430-0002
Phone (806) 743-2800

Other practice location 1

301 40th St
Lubbock, TX 79404-2746
Phone (806) 743-9355

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Ttupsych@direct.myteamcare.com
Direct Messaging Address CombestWellness@direct.myteamcare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210814000276 TX Practitioner - Psychiatry 1759652829 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Texas Tech University Health Science Center School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lubbock Regional MHMR CenterGroup PAC ID 6800782376, 23 clinicians

Practice addresses (Care Compare)

1950 Aspen Ave
Lubbock, TX 79404-1211
Phone (806) 740-1400

301 40TH St
Lubbock, TX 79404-2746
Phone (806) 743-9355

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

6501 University Ave
Suite 600
Lubbock, TX 79413-5849
Phone (806) 743-2424

Hospital & facility affiliations

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jul 1, 2021 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center - Son - Lubbock CurrentSince Aug 16, 2022 Accepting new patients
Texas Tech University Health Sciences Center - Son - Lubbock CurrentSince Aug 16, 2022 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Psychiatry CurrentSince Jul 1, 2021 Accepting new patients
Lubbock Regional MHMR Center Psychiatry CurrentSince Aug 30, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock PastSince Aug 1, 2021 Accepting new patients
Texas Texas University Health Sciences Center PastSince Aug 1, 2021 Accepting new patients

Locations

1950 Aspen Ave
Lubbock, TX 79404
Phone (806) 740-1400

301 40th St
Lubbock, TX 79404
Phone (806) 743-9355

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

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

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

4015 22nd Pl
Lubbock, TX 79410
Phone (806) 725-0000

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1376064543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 4TH ST # MS 8103",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300002",
            "telephone_number": "806-743-2800",
            "fax_number": "806-743-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST # MS 8103",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300002",
            "telephone_number": "806-743-6162",
            "fax_number": "806-743-2784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 40th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794042746",
            "country_code": "US",
            "telephone_number": "806-743-9355",
            "fax_number": "806-743-9363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMOR",
        "first_name": "WAIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T1279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ttupsych@direct.myteamcare.com",
            "affiliation": "N",
            "address_1": "3601 4th St # MS 8103",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794300002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CombestWellness@direct.myteamcare.com",
            "affiliation": "N",
            "endpointDescription": "SON - Combest Non-Clinical",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 40th St",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794042746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.