Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Angela Katherine Picot Derrick, PHD

Individual provider Clinical Psychologist · NPI 1659599009

Dr. Angela Katherine Picot Derrick, PHD is a Clinical Psychologist in Chicago, Illinois. Qualified in 2005, 21 years ago. Practices with Springsource Psychological Center PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Licensed in
IL
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

53 W Jackson Blvd Ste 520
Chicago, IL 60604-3433
Phone: (773) 578-7406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071-007116 (IL)

Record details

NPI number1659599009
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 23, 2007
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Springsource Psychological Center Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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