Organization provider

SHEMIAH R DERRICK INC.

Adult Mental Health Clinic/Center Mental Health Clinic/Center (Including Community Mental Health Center) Medicare enrolled

SHEMIAH R DERRICK INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003412909, based in Chicago, IL. The organization lists 2 taxonomy classifications, with Adult Mental Health Clinic/Center recorded as primary.

Getting there

Here is what surrounds this office in Chicago, based on OpenStreetMap data collected Sep 25, 2026. Parking is available about 0.36 mi away at Dorchester Parking Lot. There is EV charging 0.39 mi from the office (ChargePoint) — useful if you are driving in from out of town. The nearest transit stop is 487 ft away, served by 61st Street & Woodlawn. If you arrive early, there is a coffee shop 0.37 mi away.

6127 S UNIVERSITY AVE STE 109, Chicago, IL 60637 Open in Google Maps →

Getting here and what is nearby

Transit 61st Street & University 323 ft ~2 min
Transit 61st Street & Woodlawn 393 ft ~2 min
Transit 61st Street & Woodlawn 487 ft ~2 min
Restaurant Woodlawn Dining Commons 641 ft ~3 min

1156 East 61st Street, Chicago 60637

Website

Directions in Google Maps →

Parking Kimbark South Parking Garage 977 ft ~4 min

6021 South Kimbark Avenue, Chicago 60637

Website

Directions in Google Maps →

Restaurant Arley D. Cathey Dining Commons 1,018 ft ~4 min

6025 South Ellis Avenue, Chicago 60637

Mo-Th 07:00-20:30; Fr 07:00-19:30; Sa 08:00-14:30; Su 08:00-20:30

Website

Directions in Google Maps →

Restaurant BARDAVID 1,026 ft ~4 min

1201 East 60th Street, Chicago 60637

Mo-Fr 11:00-21:00

+17737022100

Website

Directions in Google Maps →

Convenience Midway Market 0.20 mi ~5 min

6031 South Ellis Avenue, Chicago 60637

Website

Directions in Google Maps →

Hotel The Study at the University of Chicago 0.20 mi ~5 min

1227 East 60th Street, Chicago 60637

Website

Directions in Google Maps →

Coffee Robust Coffee Lounge 0.21 mi ~5 min

6300 South Woodlawn Avenue, Chicago 60637

Mo-Sa 07:00-15:00; Su 09:00-15:00

+1-773-891-4240

Website

Directions in Google Maps →

Parking Chapin Hall Parking Lot 0.28 mi ~6 min

6032 South Kenwood Avenue, Chicago 60637

Directions in Google Maps →

Coffee Harper Cafe 0.34 mi ~7 min

1116 East 59th Street, Chicago 60637

+1-773-702-8787

Directions in Google Maps →

Parking Dorchester Parking Lot 0.36 mi ~8 min

1427 East 60th Street, Chicago 60637

Directions in Google Maps →

Coffee Build Coffee 0.37 mi ~8 min

6100 South Blackstone Avenue, Chicago 60637

Tu-Fr 07:30-15:00; Sa 09:00-15:00

+1-773-627-5058

Website

Directions in Google Maps →

Convenience Mobil Mart 0.37 mi ~8 min

850 East 63rd Street, Chicago 60637

Directions in Google Maps →

Gas station Mobil 0.38 mi ~8 min

850 East 63rd Street, Chicago 60637

Directions in Google Maps →

EV charging ChargePoint 0.39 mi ~8 min
Grocery Jewel-Osco 0.52 mi ~11 min

6014 South Cottage Grove Avenue, Chicago 60637

Mo-Su 06:00-22:00

+1-773-358-4278

Website

Directions in Google Maps →

OpenStreetMap via Overpass · ODbL 800 m radius Updated Sep 25, 2026

Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
5496284408
Enrollment ID
O20250121001555

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Adult Mental Health covers

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. NUCC Health Care Provider Taxonomy, code 261QM0850X
Ambulatory Health Care Facilities ›Clinic/Center ›Adult Mental Health

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

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

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1003412909 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateDec 7, 2020
Last updatedDec 7, 2020
StatusActive
Practice address 6127 S UNIVERSITY AVE STE 109
Chicago, IL 60637
(773) 424-2007
Other names Profound Peace Psychotherapy Collective Former Legal Name
The last update on file is Dec 7, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1003412909 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 0 3 4 1 2 9 0
Doubled? — ×2 — ×2 — ×2 — ×2 — ×2 — ×2 — ×2
Value 8 0 8 8 0 2 0 0 3 8 1 4 9 0

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1003412909?
NPI 1003412909 is the National Provider Identifier assigned to SHEMIAH R DERRICK INC. in Chicago, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adult Mental Health cover?
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
How do I contact SHEMIAH R DERRICK INC.?
The phone number on file with NPPES is (773) 424-2007, last updated Dec 7, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does SHEMIAH R DERRICK INC. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Where do I park when visiting SHEMIAH R DERRICK INC.?
Parking is about 0.36 mi from the office (Dorchester Parking Lot). The closest transit stop is 487 ft away, on 61st Street & Woodlawn. Distances are straight-line estimates from OpenStreetMap, so walking routes may be slightly longer.
Is NPI 1003412909 a valid number?
Yes. 1003412909 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.