WILMER E AMOS (PH.D.) – Clinical Psychologist, NPI 1134100712

WILMER E AMOS (PH.D.) is a healthcare provider. based in Memphis, Tennessee. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 32483 (MS). The NPI Number for WILMER E AMOS (PH.D.) is 1134100712

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
WILMER E AMOS (PH.D.)
NPI
1134100712
Phone
(901) 237-0261
Address
5384 POPLAR AVE
Enumeration Date
9 November 2005
Last Update Date
1 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9012370261
Graduation Year
1986 (40 years ago)
PAC ID
1658344601
Professional Enrollment ID
I20111206000170
Address ID
TN381190605ME5384XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

400 CLINICAL PSYCHOLOGIST in TN

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Provider Addresses for WILMER E AMOS (PH.D.)

  • 5384, Poplar Avenue, Brookfield, Memphis, Shelby County, West Tennessee, Tennessee, 38119, United States

    SUITE 313

    MEMPHIS, TN 381193609

    Phone: (901) 237-0261

    Fax: (901) 683-2058

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111206000170IClinical PsychologistTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96137Administration of psychological or neuropsychological test, each additional 30 minutes406111$0
90791Psychiatric diagnostic evaluation212212$0
96130Evaluation of psychological test, first hour200200$0
96131Evaluation of psychological test, each additional hour19297$0
96136Administration of psychological or neuropsychological test, first 30 minutes110110$0
View full utilization report →

Insurance plans in this area (ZIP 38119)

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Reviews

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Frequently asked questions

How do payers reference WILMER E AMOS (PH.D.)?
For WILMER E AMOS (PH.D.), use NPI 1134100712 as the unique 10-digit identifier.
Is WILMER E AMOS (PH.D.) still an active registrant?
WILMER E AMOS (PH.D.) carries an active NPI according to the public dataset.
What area of care is associated with WILMER E AMOS (PH.D.)?
WILMER E AMOS (PH.D.)'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is WILMER E AMOS (PH.D.) located near Memphis?
WILMER E AMOS (PH.D.) currently maps to Memphis, Tennessee in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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