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DR. ANGELA KATHERINE PICOT DERRICK PH.D.
NPI 1659599009
Psychologist - Clinical in Chicago, IL

Active since April 23, 2007PECOS EnrolledAccepts Medicare Assignment
53 W JACKSON BLVD STE 520, CHICAGO, IL 60604(773) 578-7406 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Angela Katherine Picot Derrick Ph.d. NPPES

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

DR. ANGELA KATHERINE PICOT DERRICK PH.D. (NPI 1659599009) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071-007116) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1659599009
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANGELA KATHERINE PICOT DERRICKCredential: PH.D.
Location Address53 W JACKSON BLVD STE 520Chicago, IL 60604-3433
Mailing Address655 W Irving Park Rd, #2317Chicago, IL 60613-3123 · (773) 578-7406
Phone(773) 578-7406
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 23, 2007
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1659599009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071-007116
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
53 W JACKSON BLVD STE 520, Chicago, IL 60604
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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. Angela Katherine Picot Derrick Ph.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 ID446735930
PECOS Enrollment IDI20260402001275
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

SPRINGSOURCE PSYCHOLOGICAL CENTER PLLC
Clinic/Center (Adult Mental Health)
53 W JACKSON BLVD STE 520
CHICAGO, IL 60604
Cook County (224) 202-6260
JESSICA IRENE MURPHY
Counselor (Mental Health)
53 W JACKSON BLVD STE 520
CHICAGO, IL 60604
Cook County (224) 202-6260
MARIA EROFEEVA LCPC
Counselor (Professional)
53 W JACKSON BLVD STE 520
CHICAGO, IL 60604
Cook County (815) 543-0375
SPRINGSOURCE PSYCHOLOGICAL CENTER PLLC
Community/Behavioral Health
53 W JACKSON BLVD STE 520
CHICAGO, IL 60604
Cook County (847) 274-1222
ALICE BIGELOW LCPC
Counselor (Professional)
53 W JACKSON BLVD STE 520
CHICAGO, IL 60604
Cook County (224) 202-6260

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 Angela Picot Derrick's NPI number?

The NPI number for Angela Picot Derrick is 1659599009. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Angela Picot Derrick located?

Angela Picot Derrick practices at 53 W Jackson Blvd Ste 520, Chicago, IL 60604. The listed phone number is (773) 578-7406.

What is Angela Picot Derrick's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Angela Picot Derrick enrolled in Medicare?

Yes. Angela Picot Derrick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Angela Picot Derrick was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.