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DR. DERICK BOYD PHD
NPI 1649079575
Psychologist - Exercise & Sports in Chicago, IL

Active since March 12, 2025
4809 N RAVENSWOOD AVE UNIT 320, CHICAGO, IL 60640(773) 231-0722 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Derick Boyd Phd NPPES

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

DR. DERICK BOYD PHD (NPI 1649079575) is an individual exercise & sports provider in Chicago, Illinois and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1649079575
Entity TypeIndividualMale
Primary Taxonomy103TE1100X
Provider Legal NameDR. DERICK BOYDCredential: PHD
Location Address4809 N RAVENSWOOD AVE UNIT 320Chicago, IL 60640-4417
Mailing Address2300 S Michigan Ave Apt 717Chicago, IL 60616-2115 · (309) 648-8352
Phone(773) 231-0722
Sole ProprietorYes
Enumeration DateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
✔ NPI 1649079575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Exercise & SportsBehavioral Health & Social Service Providers
Taxonomy Code103TE1100X
Definition
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists.
4809 N RAVENSWOOD AVE UNIT 320, Chicago, IL 60640
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Other Providers at the Same Location NPPES 3

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

DR. JESSICA RANSOM PSY.D. MSCP
Psychologist (Prescribing (Medical))
4809 N RAVENSWOOD AVE UNIT 320
CHICAGO, IL 60640
Cook County (773) 800-1510
LAUREL ANNE PAFFHOUSE
Marriage & Family Therapist
4809 N RAVENSWOOD AVE UNIT 320
CHICAGO, IL 60640
Cook County (312) 809-0298
DR. DANIEL G MORJAL PSY.D, MSCP
Psychologist (Prescribing (Medical))
4809 N RAVENSWOOD AVE UNIT 320
CHICAGO, IL 60640
Cook County (773) 800-1513

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 Derick Boyd's NPI number?

The NPI number for Derick Boyd is 1649079575. It was assigned to this individual provider in the NPPES registry on March 12, 2025.

Where is Derick Boyd located?

Derick Boyd practices at 4809 N Ravenswood Ave Unit 320, Chicago, IL 60640. The listed phone number is (773) 231-0722.

What is Derick Boyd's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Exercise & Sports, with taxonomy code 103TE1100X.

When was this NPI record last updated?

The NPPES record for Derick Boyd was last updated on March 12, 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.