ROBERT EDWARD SHERRILL PHD NPI 1376524793

NPI Information

NPI: 1376524793
Provider Name: ROBERT EDWARD SHERRILL, PHD
Classification: Psychologist - 103TP0016X
Entity Type: Individual

Specialization: Prescribing (Medical)

Address:
701 W APACHE ST
FARMINGTON, NM
ZIP 87401
Phone: (505) 327-7777
Get Directions

Robert Edward Sherrill, PHD is a prescribing (medical) psychologist in Farmington, NM. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. Robert Edward Sherrill, PHD NPI is 1376524793. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

701 W APACHE ST
FARMINGTON, NM
ZIP 87401-515
Phone: (505) 327-7777
Fax: (505) 327-7779

The enumeration date for this NPI number is 11/11/2005 and was last updated on 5/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	142	NEW MEXICO	No
2	103TP0016X	Psychologist	Prescribing (Medical)	0013	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	NMA101-767	MEDICARE UPIN	NEW MEXICO
2	25-0550-7	MEDICARE ID-TYPE UNSPECIFIED	NEW MEXICO
3	N7935	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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