Diversified Psychological Resources, P.C.
NPI 1588711006ActiveOrganization· Clinical Neuropsychologist· Philadelphia, PA
Clinical Neuropsychologist in Philadelphia, Pennsylvania, registered in NPPES in January 2007. The authorized official on file is Robert Lawrence Rider, PHD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588711006 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2007 |
| Last updated in NPPES | Aug 12, 2026 |
| Certified by provider | Aug 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | PS003688-L | PA |
| Psychologist | 103T00000X | PS003688-L | PA |
| Psychologist, Clinical | 103TC0700X | PS003688-L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
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