P Praxis·MD
● Active Type 1 · Individual

DR. Jamie C. Derrick, PH.D.

Psychologist·Moscow, ID· NPI 1871792697 · Enumerated 2007 · 18 years on NPI
Derrick is 1 of 8 psychologist providers in Moscow and 1 of 196 in Idaho.
NPI age
18 years
Enumerated 2007-07-12
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-02
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 196 active psychologist providers in Idaho.

NPI age
18 years
↑ 4 yr above median (14 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Practice location
875 Perimeter Dr MS 3043, Dept. Of Psychology, University Of Idaho
Moscow, ID 838449803
📞 2088855057
Mailing address
1937 Conestoga St
Moscow, ID 838432438
📞 2088855057

Specialties

  • Psychologist Primary
    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
    ID license #PSY325CA license #PSY14487 taxonomy 103T00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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