DR. RYAN BEVERIDGE PH.D.
NPI 1336031269
Psychologist - Clinical in Newark, DE

Active since July 16, 2025PECOS Enrolled
100 DISCOVERY BLVD., ICMH, STAR TOWER, 6TH FLOOR, NEWARK, DE 19713(302) 831-2717 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan Beveridge Ph.d. NPPES

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

DR. RYAN BEVERIDGE PH.D. (NPI 1336031269) is an individual clinical provider in Newark, Delaware, licensed in Delaware (B1-0000862) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1336031269
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. RYAN BEVERIDGECredential: PH.D.
Location Address100 DISCOVERY BLVD., ICMH, STAR TOWER, 6TH FLOORNewark, DE 19713
Mailing Address1034 Saint Georges LnLandenberg, PA 19350-1320 · (801) 502-6673
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
NPI 1336031269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in DE · B1-0000862
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
100 DISCOVERY BLVD., Newark, DE 19713

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. Ryan Beveridge Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163910928
PECOS Enrollment IDI20251023000762
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$173.08 typical visit price
range $57.12 – $173.08
Typical copayment $43.27 (range $14.28 – $43.27)
Most-billed visit code 99205
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ryan Beveridge's NPI number?

The NPI number for Ryan Beveridge is 1336031269. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Where is Ryan Beveridge located?

Ryan Beveridge practices at 100 Discovery Blvd. Icmh, Star Tower, 6th Floor, Newark, DE 19713. The listed phone number is (302) 831-2717.

What is Ryan Beveridge's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ryan Beveridge enrolled in Medicare?

Yes. Ryan Beveridge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Beveridge was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.