DR. JAMIE C. DERRICK PH.D.
NPI 1871792697
Psychologist in Moscow, ID
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
Specialties & Licenses
Other Names 1
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.
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.