IndividualActive
Derick Boyd, PHD
NPI 1649079575 · Exercise & Sports Psychologist · Chicago, IL
Provider details
- NPI number
- 1649079575
- Entity type
- Individual
- Primary specialty
- Exercise & Sports PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
Practice location
4809 N Ravenswood Ave Unit 320
Chicago, IL 60640-4417
Phone: (773) 231-0722
Mailing address
2300 S Michigan Ave Apt 717
Chicago, IL 60616-2115
Registry dates
- Enumerated
- 2025-03-12
- Last updated
- 2025-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.