DR. CASEY LADUKE PHD
NPI 1194172312
Psychologist in Philadelphia, PA

Active since May 17, 2016PECOS Enrolled
230 S BROAD ST STE 1005, PHILADELPHIA, PA 19102(215) 988-9911 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2025, May 17, 2016 (2 updates tracked since 2016).

About Dr. Casey Laduke Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CASEY LADUKE PHD (NPI 1194172312) is an individual psychologist in Philadelphia, Pennsylvania and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194172312
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. CASEY LADUKECredential: PHD
Location Address230 S BROAD ST STE 1005Philadelphia, PA 19102-4105
Mailing Address230 S Broad St Ste 1005Philadelphia, PA 19102-4105
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 17, 2016
Last NPPES UpdateMay 16, 20252 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
NPI 1194172312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
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, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedPsychologist · ForensicTaxonomy 103TF0200X
230 S BROAD ST STE 1005, Philadelphia, PA 19102

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Casey Laduke Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739477290
PECOS Enrollment IDI20250730001268
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Neuropsychologist
230 S BROAD ST STE 1005
PHILADELPHIA, PA 19102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casey Laduke's NPI number?

The NPI number for Casey Laduke is 1194172312. It was assigned to this individual provider in the NPPES registry on May 17, 2016.

Where is Casey Laduke located?

Casey Laduke practices at 230 S Broad St Ste 1005, Philadelphia, PA 19102. The listed phone number is (215) 988-9911.

What is Casey Laduke's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Casey Laduke enrolled in Medicare?

Yes. Casey Laduke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Casey Laduke was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.