JOHN R THIBODEAU LLC
NPI 1417183419
Psychologist - Clinical in Longwood, FL

Q: What is John R Thibodeau LLC's NPI number?

The NPI number for John R Thibodeau LLC is 1417183419. It was assigned to this organization in the NPPES registry on June 4, 2009.

Q: What is John R Thibodeau LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 04, 2009

296 NEW WATERFORD PL, LONGWOOD, FL 32779(321) 972-5693(321) 972-5693 Get Directions Write a Review

NPPES record last updated: June 4, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About John R Thibodeau Llc NPPES

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

JOHN R THIBODEAU LLC (NPI 1417183419) is a healthcare organization registered as a clinical in Longwood, Florida and active in the NPI registry since June 2009. The organization lists John R. Thibodeau, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1417183419

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameJOHN R THIBODEAU LLC

Location Address296 NEW WATERFORD PLLongwood, FL 32779-5656

Mailing Address296 New Waterford PlLongwood, FL 32779-5656 · (321) 972-5693 · Fax (321) 972-5693

Phone(321) 972-5693

Fax(321) 972-5693

Organization SubpartNo

Authorized OfficialJohn R. ThibodeauSole Member · (321) 972-5693

Enumeration DateJune 4, 2009

✔ NPI 1417183419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY 7684

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

296 NEW WATERFORD PL, Longwood, FL 32779

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN R THIBODEAU PHD

Psychologist (Clinical)

296 NEW WATERFORD PL
LONGWOOD, FL 32779

Seminole County (321) 972-5693

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 John R Thibodeau LLC's NPI number?

The NPI number for John R Thibodeau LLC is 1417183419. It was assigned to this organization in the NPPES registry on June 4, 2009.

Where is John R Thibodeau LLC located?

John R Thibodeau LLC is located at 296 New Waterford Pl, Longwood, FL 32779. The listed phone number is (321) 972-5693.

What is John R Thibodeau LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for John R Thibodeau LLC was last updated on June 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.