Individual provider Active NPI

Derrick Sebree Jr., PSYD

  • Clinical Psychologist
  • Farmington, MI
National Provider Identifier
1912377458
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301016786 Issued in MI
Practice address
30875 W 9 Mile Rd
Farmington, MI 48336-4203
Phone
(248) 416-7740
NPI assigned
Sep 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301016786 MI Primary

Addresses

Primary practice location

30875 W 9 Mile Rd
Farmington, MI 48336-4203

Mailing address

30875 W 9 Mile Rd
Farmington, MI 48336-4203
Phone (248) 416-7740

Other practice location 1

1 Heritage Dr Ste 261
Southgate, MI 48195-2574
Phone (734) 778-0663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211002846 MI Practitioner - Clinical Psychologist 0648514059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Counseling LLCGroup PAC ID 7012335326, 7 clinicians

Practice addresses (Care Compare)

1 Heritage Dr
Suite 261
Southgate, MI 48195-2574
Phone (734) 778-0663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301016786MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Counseling L.L.C. CurrentSince May 3, 2024 Accepting new patients
Sebree and Associates LLC Clinical CurrentSince Apr 13, 2025 Accepting new patients

Locations

32290 5 Mile Rd
Ste 1
Livonia, MI 48154
Phone (734) 778-0663

1 Heritage Dr
Ste 261
Southgate, MI 48195
Phone (734) 778-0663

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1912377458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30875 W 9 MILE RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483364203",
            "telephone_number": "248-416-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30875 W 9 MILE RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483364203",
            "telephone_number": "248-416-7740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Heritage Dr Ste 261",
            "address_purpose": "LOCATION",
            "city": "Southgate",
            "state": "MI",
            "postal_code": "481952574",
            "country_code": "US",
            "telephone_number": "734-778-0663",
            "fax_number": "734-785-8328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBREE",
        "first_name": "DERRICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-27",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

Verify at the official NPI Registry.