Robert Edward Sherrill Jr., PHD

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

0013 Issued in NM

Practice address

701 W Apache St
Farmington, NM 87401-5515

Phone

(505) 327-7777

Fax

(505) 327-7779

NPI assigned

Nov 11, 2005

Last updated

May 16, 2013By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Salsa Inc

  • Speech-Language Pathologist
  • Farmington, NM
  • NPI 1467517821
  NPD (past)

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1376524793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015515",
            "telephone_number": "505-327-7777",
            "fax_number": "505-327-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015515",
            "telephone_number": "505-327-7777",
            "fax_number": "505-327-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "142",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "0013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N7935",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahnoor Shah
• Kristen Joy Shanks, CNM
• Katrina G Sharp, RN
• Matthew Shell, DPT
• Shemot Psychosocial Interventions (4Corners Anti-Trafficking Multistate Crisis Intervention Network Task)
• Heather Sherwin, M.D.
• Shiloh Home Health Inc (Shiloh Home Health)
• Gerald Shorty, LMHC
• James Shorty
• Jessica Nicole Shorty

• Prescribing (Medical) Psychologist in Farmington, NM
• Providers in Farmington, NM by specialty
• Prescribing (Medical) Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.