Active NPI
Sue Ann Sherrod, M.D.
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1376731695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D6540
- Practice address
- 4925 Sugar Mill Rd
Dallas, TX 75244-6935 - Phone
- (214) 906-9036
- Fax
- (972) 490-7350
- NPI assigned
- Oct 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D6540 | TX | Primary |
Addresses
Primary practice location
4925 Sugar Mill Rd
Dallas, TX 75244-6935
Mailing address
4925 Sugar Mill Rd
Dallas, TX 75244-6935
Phone (214) 906-9036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Domicilliary Service LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1376731695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4925 SUGAR MILL RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752446935",
"telephone_number": "214-906-9036",
"fax_number": "972-490-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4925 SUGAR MILL RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752446935",
"telephone_number": "214-906-9036",
"fax_number": "972-490-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERROD",
"first_name": "SUE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "D6540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.