What is Shemiah R Derrick Inc.'s NPI number?

Shemiah R Derrick Inc.'s National Provider Identifier (NPI) is 1003412909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Shemiah R Derrick Inc.?

Shemiah R Derrick Inc. is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).

Where is Shemiah R Derrick Inc. located?

Shemiah R Derrick Inc.'s practice location on file with NPPES is 6127 S University Ave Ste 109, Chicago, IL 60637-5894.

What is Shemiah R Derrick Inc.'s phone number?

The practice phone number listed in the NPPES registry for Shemiah R Derrick Inc. is (773) 424-2007.

Does Shemiah R Derrick Inc. accept Medicare?

Shemiah R Derrick Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Who is the authorized official for Shemiah R Derrick Inc.?

The authorized official listed on Shemiah R Derrick Inc.'s NPPES record is Shemiah Derrick, President & Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Shemiah R Derrick Inc.'s NPI active?

Yes — Shemiah R Derrick Inc.'s NPI (1003412909) is active in the NPPES registry as of the last update on 2020-12-07.

OrganizationActiveAccepts Medicare

Shemiah R Derrick Inc.

NPI 1003412909 · Adult Mental Health Clinic/Center · Chicago, IL

Shemiah R Derrick Inc. is a Adult Mental Health Clinic/Center organization in Chicago, IL (NPI 1003412909).

Provider details

NPI number: 1003412909
Entity type: Organization
Primary specialty: Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Shemiah Derrick, President & Owner(773) 424-2007

Practice location

6127 S University Ave Ste 109

Chicago, IL 60637-5894

Phone: (773) 424-2007

Street-level locationGet directions

More IL providers

Mailing address

6127 S University Ave Ste 109

Chicago, IL 60637-5894

Specialties & taxonomies

Adult Mental Health Clinic/CenterPrimary261QM0850X
Ambulatory Health Care Facilities
Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801X
Ambulatory Health Care Facilities

Other names (DBA / former)

Doing business as: Profound Peace Psychotherapy Collective

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(64/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2020-12-07
Last updated: 2020-12-07
Certified: 2020-12-07

Frequently asked questions

What is Shemiah R Derrick Inc.'s NPI number?: Shemiah R Derrick Inc.'s National Provider Identifier (NPI) is 1003412909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Shemiah R Derrick Inc.?: Shemiah R Derrick Inc. is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
Where is Shemiah R Derrick Inc. located?: Shemiah R Derrick Inc.'s practice location on file with NPPES is 6127 S University Ave Ste 109, Chicago, IL 60637-5894.
What is Shemiah R Derrick Inc.'s phone number?: The practice phone number listed in the NPPES registry for Shemiah R Derrick Inc. is (773) 424-2007.
Does Shemiah R Derrick Inc. accept Medicare?: Shemiah R Derrick Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Who is the authorized official for Shemiah R Derrick Inc.?: The authorized official listed on Shemiah R Derrick Inc.'s NPPES record is Shemiah Derrick, President & Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Shemiah R Derrick Inc.'s NPI active?: Yes — Shemiah R Derrick Inc.'s NPI (1003412909) is active in the NPPES registry as of the last update on 2020-12-07.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions