Derick Boyd, PHD

Primary specialty

Exercise & Sports PsychologistTaxonomy code 103TE1100X

Practice address

4809 N Ravenswood Ave Unit 320
Chicago, IL 60640-4417

Phone

(773) 231-0722

NPI assigned

Mar 12, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1649079575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S MICHIGAN AVE APT 717",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162115",
            "telephone_number": "309-648-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 N RAVENSWOOD AVE UNIT 320",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404417",
            "telephone_number": "773-231-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "DERICK",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Boyd, MA, LMFT
• Crystal Boyd
• Cyndy Jean Boyd, PH.D.
• Cynthia E Boyd
• Darren Boyd, M.D.
• Jaime Octavio Boyd, MD
• Jalen Boyd
• Justen Boyd
• Kaleb Boyd
• Keith M Boyd, M.D.

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.