DIVERSIFIED PSYCHOLOGICAL RESOURCES, P.C.
NPI 1588711006
Clinical Neuropsychologist in Philadelphia, PA

Active since January 05, 2007
230 S. BROAD ST., SUITE 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, Sep 16, 2022, Jan 27, 2016 (3 updates tracked since 2016).

About Diversified Psychological Resources, P.c. NPPES

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

DIVERSIFIED PSYCHOLOGICAL RESOURCES, P.C. (NPI 1588711006) is a healthcare organization registered as a clinical neuropsychologist in Philadelphia, Pennsylvania and active in the NPI registry since January 2007. The organization lists Robert Lawrence Rider, Owner, as its authorized official.

NPPES Registry Identity

NPI1588711006
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameDIVERSIFIED PSYCHOLOGICAL RESOURCES, P.C.
Location Address230 S. BROAD ST., SUITE 1005Philadelphia, PA 19102-4105
Mailing Address230 S Broad St Ste 1005Philadelphia, PA 19102-4105 · (215) 988-9911 · Fax (215) 988-9912
Fax(215) 988-9912
Organization SubpartNo
Authorized OfficialRobert Lawrence RiderOwner · (215) 988-9911
Enumeration DateJanuary 5, 2007
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1588711006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in PA · PS003688-L
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.
Also ListedPsychologistTaxonomy 103T00000X · License PS003688-L (PA)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PS003688-L (PA)
230 S. BROAD ST., Philadelphia, PA 19102

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diversified Psychological Resources, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Diversified Psychological Resources, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Clinical Psychologist
NPI 1194172312
230 S BROAD ST STE 1005
Philadelphia, PA 19102
(215) 988-9911
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1427432632
230 S BROAD ST STE 1005
Philadelphia, PA 19102
(215) 988-9911
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1467092312
1528 WALNUT ST STE 1500
Philadelphia, PA 19102
(215) 735-2505
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1609228022
77 ROCHELLE AVE
Philadelphia, PA 19128
(215) 704-9832
✔ PECOS✔ Accepts Medicare5.3 mi
Clinical Psychologist
NPI 1255525531
263 BEECH HILL RD
Wynnewood, PA 19096
(610) 724-6387
✔ PECOS✔ Accepts Medicare7.4 mi
Clinical Psychologist
NPI 1972898062
1629 THAMES ST STE 350 DIVISION OF COGNITIVE NEUROLOGY
Baltimore, MD 21231
(410) 955-8531
✔ PECOS89 mi

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

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 Diversified Psychological Resources, P.C.'s NPI number?

The NPI number for Diversified Psychological Resources, P.C. is 1588711006. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Diversified Psychological Resources, P.C. located?

Diversified Psychological Resources, P.C. is located at 230 S. Broad St. Suite 1005, Philadelphia, PA 19102. The listed phone number is (215) 988-9911.

What is Diversified Psychological Resources, P.C.'s specialty?

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

Is Diversified Psychological Resources, P.C. enrolled in Medicare?

Yes. Diversified Psychological Resources, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diversified Psychological Resources, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Diversified Psychological Resources, P.C.. A 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 the clinician's services. Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Diversified Psychological Resources, P.C. 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.