IndividualActive
Glenn Derrick, M.A., L.L.P.
NPI 1922124650 · Psychologist · Southgate, MI
Glenn Derrick, M.A., L.L.P. is a Psychologist provider in Southgate, MI (NPI 1922124650).
Provider details
- NPI number
- 1922124650
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- M.A., L.L.P.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6361005250 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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.
Practice location
13101 Allen Rd
Southgate, MI 48195-2216
Phone: (734) 785-7703
Fax: (734) 785-7733
Street-level locationGet directions
Mailing address
142 E Oakridge St
Ferndale, MI 48220-1333
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2025-09-27
- Certified
- 2025-09-27
Frequently asked questions
- What is Glenn Derrick's NPI number?
- Glenn Derrick's National Provider Identifier (NPI) is 1922124650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glenn Derrick's specialty?
- Glenn Derrick is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Glenn Derrick located?
- Glenn Derrick's practice location on file with NPPES is 13101 Allen Rd, Southgate, MI 48195-2216.
- What is Glenn Derrick's phone number?
- The practice phone number listed in the NPPES registry for Glenn Derrick is (734) 785-7703.
- Is Glenn Derrick's NPI active?
- Yes — Glenn Derrick's NPI (1922124650) is active in the NPPES registry as of the last update on 2025-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.