Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shemiah R Derrick Inc

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1003412909

Shemiah R Derrick Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, Illinois. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6127 S University Ave Ste 109
Chicago, IL 60637-5894
Phone: (773) 424-2007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1003412909
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shemiah Derrick — President & Owner · (773) 424-2007
Other names Profound Peace Psychotherapy Collective
NPI enumeratedDecember 7, 2020
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020
Mailing address6127 S University Ave Ste 109, Chicago, IL 60637-5894

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