Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ryan Beveridge, PHD

Individual provider Clinical Psychologist · NPI 1336031269

Dr. Ryan Beveridge, PHD is a Clinical Psychologist in Newark, Delaware. Qualified in 2008, 18 years ago. Practices as a sole proprietor. Licensed in Delaware.

Years since qualifying
18
Licensed in
DE
In the registry since
2025
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

100 Discovery Blvd Icmh Star Tower 6th Fl
Newark, DE 19713
Phone: (302) 831-2717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence B1-0000862 (DE)

Record details

NPI number1336031269
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 16, 2025
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address1034 Saint Georges Ln, Landenberg, PA 19350-1320

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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