GLENN R CADDY PHD PA
NPI 1871755579
Clinic/Center - Adult Mental Health in Ft Lauderdale, FL

Q: What is Glenn R Caddy Phd PA's NPI number?

The NPI number for Glenn R Caddy Phd PA is 1871755579. It was assigned to this organization in the NPPES registry on June 25, 2008.

Q: What is Glenn R Caddy Phd PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since June 25, 2008

3101 N FEDERAL HWY, SUITE 301, FT LAUDERDALE, FL 33306(954) 565-8850 Get Directions Write a Review

NPPES record last updated: December 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Glenn R Caddy Phd Pa NPPES

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

GLENN R CADDY PHD PA (NPI 1871755579) is a healthcare organization registered as an adult mental health in Ft Lauderdale, Florida and active in the NPI registry since June 2008. The organization lists Glenn Ross Caddy, Owner, as its authorized official.

NPPES Registry Identity

NPI1871755579

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameGLENN R CADDY PHD PA

Location Address3101 N FEDERAL HWY, SUITE 301Ft Lauderdale, FL 33306-1018

Mailing Address3101 N Federal Hwy, Suite 301Ft Lauderdale, FL 33306-1018 · (954) 565-8850

Phone(954) 565-8850

Organization SubpartNo

Authorized OfficialGlenn Ross CaddyOwner · (954) 565-8850

Enumeration DateJune 25, 2008

Last NPPES UpdateDecember 2, 2008

✔ NPI 1871755579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

License✔ Licensed in FL · PY2093

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

3101 N FEDERAL HWY, Ft Lauderdale, FL 33306

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Other Providers at the Same Location NPPES 4

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

MR. DARIN L BUSH D.O.

Physical Medicine & Rehabilitation (Pain Medicine)

3101 N FEDERAL HWY, SUITE 201
OAKLAND PARK, FL 33306

Broward County (954) 816-1301

DARIN L BUSH, D.O., P.A.

Physical Medicine & Rehabilitation (Neuromuscular Medicine)

3101 N FEDERAL HWY, SUITE 201
OAKLAND PARK, FL 33306

Broward County (954) 816-1301

DR. JOHN CHARLES STONE DDS

Dentist

3101 N FEDERAL HWY, STE 501
FT LAUDERDALE, FL 33306

Broward County (954) 568-9100

LISE D. BROWN, DO, PA

Internal Medicine

3101 N FEDERAL HWY, SUITE 201
FORT LAUDERDALE, FL 33306

Broward County (954) 318-3386

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 Glenn R Caddy Phd PA's NPI number?

The NPI number for Glenn R Caddy Phd PA is 1871755579. It was assigned to this organization in the NPPES registry on June 25, 2008.

Where is Glenn R Caddy Phd PA located?

Glenn R Caddy Phd PA is located at 3101 N Federal Hwy Suite 301, Ft Lauderdale, FL 33306. The listed phone number is (954) 565-8850.

What is Glenn R Caddy Phd PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Glenn R Caddy Phd PA was last updated on December 2, 2008. 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.