DR. ROBERT G. RIEDEL PH.D. NPI 1174569487

NPI Information

NPI: 1174569487
Provider Name: DR. ROBERT G. RIEDEL, PH.D.
Classification: Psychologist - 103TF0200X
Specialization: Forensic
Entity Type: Individual
Address: 7830 BELMONT DR
LAKE WORTH, FL
ZIP 33467
Phone: (320) 491-1376

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NPI Details

DR. Robert G. Riedel, PH.D. is a forensic psychologist in Lake Worth, FL. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. DR. Robert G. Riedel, PH.D. NPI is 1174569487. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7830 BELMONT DR
LAKE WORTH, FL
ZIP 33467-828
Phone: (320) 491-1376

The enumeration date for this NPI number is 6/22/2006 and was last updated on 8/10/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	LP0626	MINNESOTA	No
2	103TF0200X	Psychologist	Forensic	LP0626	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1042326	OTHER	MINNESOTA	PREFERREDONE
2	531347300	MEDICAID	MINNESOTA
3	063L4RI	OTHER	MINNESOTA	BLUE SHIELD OF MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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