Ryan Beveridge, PH.D.
Individual provider Active NPI Clinical Psychologist · Newark, DE
NPI 1336031269 · NPPES record last updated Jul 16, 2025
Key facts
- NPI
- 1336031269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- B1-0000862 (DE)
- Practice address
- 100 Discovery Blvd.
Icmh, Star Tower, 6TH Floor
Newark, DE 19713 - Phone
- (302) 831-2717
- NPI assigned
- Jul 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 Discovery Blvd
Newark, DE 19713-1313
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251023000762 | DE | Practitioner - Clinical Psychologist | 2163910928 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B1-0000862 | DE | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ud Health LLC | Current |
Accepting new patients | |
| Ud Health LLC | Clinical | Current |
Accepting new patients |
Locations
540 S College Ave
Ste 160
Newark, DE 19713
Phone (302) 831-3000
100 Discovery Blvd
Fl 6
Newark, DE 19713
Phone (302) 831-2717
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | B1-0000862 | DE | Yes |
Addresses
Primary practice location
100 Discovery Blvd.
Icmh, Star Tower, 6TH Floor
Newark, DE 19713
Mailing address
1034 Saint Georges LN
Landenberg, PA 19350-1320
Phone (801) 502-6673
Other providers in Newark, DE
- Eugene Bestman
- David R Beswick
- Hannah Betters
- Petra Betterton
- Amy Beukema
- Emily Marie Bewley
- Stephanie Renee Bey
- Bonnie Millerba Beyer
- Zoey Bezilla
- Kunal Pikoo Bhagat
All providers in Newark, DE · Clinical Psychologist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.