DR. DEREK PHILLIPS PSY.D.
NPI 1467902809
Psychologist - Prescribing (Medical) in Chicago, IL

Q: What is Derek Phillips's NPI number?

The NPI number for Derek Phillips is 1467902809. It was assigned to this individual provider in the NPPES registry on October 10, 2016.

Q: What is Derek Phillips's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Q: When was this NPI record last updated?

The NPPES record for Derek Phillips was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 10, 2016PECOS EnrolledAccepts Medicare Assignment

91.8/100

CMS Quality Rating

2732 N CLARK ST STE 300, CHICAGO, IL 60614(773) 250-1769(773) 250-1769 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2025, Sep 18, 2024, Dec 30, 2021 and 5 more (8 updates tracked since 2016).

On this page

About Dr. Derek Phillips Psy.d. NPPES

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

DR. DEREK PHILLIPS PSY.D. (NPI 1467902809) is an individual prescribing (medical) provider in Chicago, Illinois, licensed in Illinois (074.000012) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1467902809

Entity TypeIndividualMale

Primary Taxonomy103TP0016X

Provider Legal NameDR. DEREK PHILLIPSCredential: PSY.D.

Location Address2732 N CLARK ST STE 300Chicago, IL 60614-1553

Mailing Address2732 N Clark St Ste 300Chicago, IL 60614-1553 · (773) 250-1769 · Fax (773) 250-1769

Phone(773) 250-1769

Fax(773) 250-1769

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 10, 2016

Last NPPES UpdateDecember 29, 20258 updates tracked since enumeration

NPPES CertifiedDecember 29, 2025

✔ NPI 1467902809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers

Taxonomy Code103TP0016X

License✔ Licensed in IL · 074.000012

Definition

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.

Also ListedPsychologistTaxonomy 103T00000X · License 071.009513 (IL)

2732 N CLARK ST STE 300, Chicago, IL 60614

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Derek Phillips Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42584781

PECOS Enrollment IDI20170920000167

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

156 services26 patients

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

68 services31 patients

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139

64 services12 patients

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

39 services39 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

31 services31 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

26 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 16

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

SPENCER DIMMICK

Counselor (Mental Health)