DR. JAMIE C. DERRICK PH.D.
NPI 1871792697
Psychologist in Moscow, ID

Active since July 12, 2007Opted out of Medicare · through Jun 1, 2027
875 PERIMETER DR MS 3043, DEPT. OF PSYCHOLOGY, UNIVERSITY OF IDAHO, MOSCOW, ID 83844(208) 885-5057 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jamie C. Derrick Ph.d. NPPES

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

DR. JAMIE C. DERRICK PH.D. (NPI 1871792697) is an individual psychologist in Moscow, Idaho, licensed in Idaho (PSY325) and active in the NPI registry since July 2007. She has opted out of Medicare through June 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1871792697
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JAMIE C. DERRICKCredential: PH.D.
Location Address875 PERIMETER DR MS 3043, DEPT. OF PSYCHOLOGY, UNIVERSITY OF IDAHOMoscow, ID 83844-9803
Mailing Address1937 Conestoga StMoscow, ID 83843-2438 · (208) 885-5057
Sole ProprietorYes
Enumeration DateJuly 12, 2007
Last NPPES UpdateJune 2, 2025
NPPES CertifiedJune 2, 2025
NPI 1871792697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in ID · PSY325 Licensed in CA · PSY14487
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
875 PERIMETER DR MS 3043, Moscow, ID 83844

Other Names 1

Former Name (1)Dr. Jamie C. Nekich Ph.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Jamie C. Derrick Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 1, 2019 through June 1, 2027.

Opt-Out Effective DateJune 1, 2019
Opt-Out In Effect ThroughJune 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Jamie Derrick's NPI number?

The NPI number for Jamie Derrick is 1871792697. It was assigned to this individual provider in the NPPES registry on July 12, 2007. The provider is also known as Dr. Jamie C. Nekich Ph.D..

Where is Jamie Derrick located?

Jamie Derrick practices at 875 Perimeter Dr Ms 3043 Dept. Of Psychology, University Of Idaho, Moscow, ID 83844. The listed phone number is (208) 885-5057.

What is Jamie Derrick's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jamie Derrick enrolled in Medicare?

No. Jamie Derrick has opted out of Medicare through June 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jamie Derrick was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.