DR. SAMANTHA SHERWOOD PHD
NPI 1528640653
Psychologist - Clinical Child & Adolescent in Las Vegas, NV

Q: What is Samantha Sherwood's NPI number?

The NPI number for Samantha Sherwood is 1528640653. It was assigned to this individual provider in the NPPES registry on April 27, 2021.

Q: What is Samantha Sherwood's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: Is Samantha Sherwood enrolled in Medicare?

No. Samantha Sherwood has opted out of Medicare through May 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Samantha Sherwood was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 27, 2021Opted out of Medicare · through May 20, 2027

9205 W RUSSELL RD, BLDG 3, STE 240, LAS VEGAS, NV 89148(702) 323-8355 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2025, Dec 13, 2023, Apr 27, 2021 (3 updates tracked since 2021).

On this page

About Dr. Samantha Sherwood Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANTHA SHERWOOD PHD (NPI 1528640653) is an individual clinical child & adolescent provider in Las Vegas, Nevada, licensed in Nevada (PY1162) and active in the NPI registry since April 2021. She has opted out of Medicare through May 20, 2027.

NPPES Registry Identity

NPI1528640653

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. SAMANTHA SHERWOODCredential: PHD

Location Address9205 W RUSSELL RD, BLDG 3, STE 240Las Vegas, NV 89148

Mailing Address9205 W Russell Rd, Bldg 3, Ste 240Las Vegas, NV 89148 · (702) 323-8355

Phone(702) 323-8355

Sole ProprietorNo

Enumeration DateApril 27, 2021

Last NPPES UpdateApril 2, 20253 updates tracked since enumeration

NPPES CertifiedApril 2, 2025

✔ NPI 1528640653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in NV · PY1162

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY1162 (NV)

9205 W RUSSELL RD, Las Vegas, NV 89148

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Samantha Sherwood Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 20, 2025 through May 20, 2027.

Opt-Out Effective DateMay 20, 2025

Opt-Out In Effect ThroughMay 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATARAJAN MEDICAL GROUP OF NEVEDA, PC

Family Medicine (Hospice and Palliative Medicine)

9205 W RUSSELL RD, STE 305
LAS VEGAS, NV 89148

Clark County (702) 625-9109

GREEKA MARTINEZ

Driver

9205 W RUSSELL RD
LAS VEGAS, NV 89148

Clark County (504) 261-3136

MQ HOLDINGS LLC

Internal Medicine

9205 W RUSSELL RD, ST 240
LAS VEGAS, NV 89148

Clark County (702) 499-0589

JEANETTA WANDICK

Technician (Personal Care Attendant)

9205 W RUSSELL RD
LAS VEGAS, NV 89148

Clark County (702) 421-1259

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Sherwood's NPI number?

The NPI number for Samantha Sherwood is 1528640653. It was assigned to this individual provider in the NPPES registry on April 27, 2021.

Where is Samantha Sherwood located?

Samantha Sherwood practices at 9205 W Russell Rd Bldg 3, Ste 240, Las Vegas, NV 89148. The listed phone number is (702) 323-8355.

What is Samantha Sherwood's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Samantha Sherwood enrolled in Medicare?

No. Samantha Sherwood has opted out of Medicare through May 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Samantha Sherwood was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.