Individual provider Active NPI

Rebecca Sherrier

  • Psychologist
  • Lubbock, TX
National Provider Identifier
1184343386
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
40619 Issued in TX
Practice address
4000 24TH St FL 1
Lubbock, TX 79410-1894
Phone
(806) 725-4878
NPI assigned
Aug 23, 2022
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 40619 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4000 24TH St FL 1
Lubbock, TX 79410-1894

Mailing address

343 Martis Way
Abilene, TX 79602-1657
Phone (609) 414-3443

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251008004390 TX Practitioner - Clinical Psychologist 0547767170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3601 4TH St
Lubbock, TX 79430-0001

PO Box
Suite 27476
Salt Lake City, UT 84127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40619TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Oct 1, 2025 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 CurrentSince Oct 1, 2025 Accepting new patients

Locations

4000 24th St
Lubbock, TX 79410
Phone (806) 725-0000

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

4000 24th St
Fl 1
Lubbock, TX 79410
Phone (806) 725-4878

Organizations & group practices 4

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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1184343386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 MARTIS WAY",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021657",
            "telephone_number": "609-414-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 24TH ST FL 1",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101894",
            "telephone_number": "806-725-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRIER",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "40619",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.