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

NPI Status: Active since January 05, 2007

Contact Information

230 S. BROAD ST.
SUITE 1005
PHILADELPHIA, PA
ZIP 19102
Phone: (215) 988-9911
Fax: (215) 988-9912

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  • Organization
  • Clinical Neuropsychologist

About DIVERSIFIED PSYCHOLOGICAL RESOURCES, P.C.

This page provides the complete NPI Profile along with additional information for Diversified Psychological Resources, P.c., a provider established in Philadelphia, Pennsylvania operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1588711006 assigned on January 2007. The practitioner's primary taxonomy code is 103G00000X with license number PS003688-L (PA). The provider is registered as an organization and their NPI record was last updated 3 years ago. Diversified Psychological Resources, P.c. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Robert Lawrence Rider Ph.d. (Owner)

NPI
1588711006
Provider Name
DIVERSIFIED PSYCHOLOGICAL RESOURCES, P.C.
Entity Type
Organization
Location Address
230 S. BROAD ST. SUITE 1005 PHILADELPHIA, PA 19102
Location Phone
(215) 988-9911
Location Fax
(215) 988-9912
Mailing Address
230 S. BROAD ST. SUITE 1005 PHILADELPHIA, PA 19102
Mailing Phone
(215) 988-9911
Mailing Fax
(215) 988-9912
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-05-2007
Last Update Date
09-16-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
PS003688-L
License State
PA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

PS003688-L (PA)
2103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

PS003688-L (PA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERT LAWRENCE RIDER PH.D.

Authorized Official Title
OWNER
Authorized Official Phone
(215) 988-9911

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588711006
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25168141200
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 4 + 1 + 2 + 0 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1588711006 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659401990DR. JESSICA DEAN RUSSO PSY.D.
Individual
Psychologist (Clinical)230 S. BROAD ST. STE 600
PHILA, PA 19102
(215) 545-2748

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588711006, enumerated in the NPI registry as an "organization" on January 05, 2007

The provider is located at 230 S. Broad St. Suite 1005 Philadelphia, Pa 19102 and the phone number is (215) 988-9911

This medical organization specializes in Clinical Neuropsychologist with taxonomy code 103G00000X

This NPI record was last updated on January 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.