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DR. ROBERT LAWRENCE RIDER PH.D.
NPI 1427432632
Clinical Neuropsychologist in Philadelphia, PA

Active since July 17, 2015PECOS EnrolledAccepts Medicare Assignment
230 S BROAD ST STE 1005, PHILADELPHIA, PA 19102(215) 988-9911(215) 988-9912 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2026, Dec 30, 2015 (2 updates tracked since 2015).

About Dr. Robert Lawrence Rider Ph.d. NPPES

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

DR. ROBERT LAWRENCE RIDER PH.D. (NPI 1427432632) is an individual clinical neuropsychologist in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS017874) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1427432632
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. ROBERT LAWRENCE RIDERCredential: PH.D.
Location Address230 S BROAD ST STE 1005Philadelphia, PA 19102-4105
Mailing Address230 S Broad St Ste 1005Philadelphia, PA 19102-4105 · (215) 988-9911 · Fax (215) 988-9912
Phone(215) 988-9911
Fax(215) 988-9912
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 17, 2015
Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1427432632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in PA · PS017874
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
230 S BROAD ST STE 1005, Philadelphia, PA 19102
Open in Google Maps ↗

Other Identifiers 1

Medicaid103062378PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert Lawrence Rider Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204136336
PECOS Enrollment IDI20151123000236
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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Rider reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diversified Psychological Resources, P.C.
Same address
Clinical Neuropsychologist
230 S. BROAD ST., SUITE 1005
Philadelphia, PA 19102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group
NPI 1588711006 (215) 988-9911

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

DR. CASEY LADUKE PHD
Psychologist
230 S BROAD ST STE 1005
PHILADELPHIA, PA 19102
Philadelphia County (215) 988-9911
SARAH FRIEDMAN
Clinical Neuropsychologist
230 S BROAD ST STE 1005
PHILADELPHIA, PA 19102
Philadelphia County (215) 988-9911

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 Robert Rider's NPI number?

The NPI number for Robert Rider is 1427432632. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Where is Robert Rider located?

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

What is Robert Rider's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Robert Rider enrolled in Medicare?

Yes. Robert Rider is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Robert Rider's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Rider reassigns Medicare benefits to Diversified Psychological Resources, P.C. (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Rider's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Robert Rider was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.