DR. JOHN R THIBODEAU PHD
NPI 1962506188
Psychologist - Clinical in Longwood, FL

Q: What is John Thibodeau's NPI number?

The NPI number for John Thibodeau is 1962506188. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Q: What is John Thibodeau's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Thibodeau was last updated on July 1, 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.

Active since September 08, 2006

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

NPPES record last updated: July 1, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. John R Thibodeau Phd NPPES

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

DR. JOHN R THIBODEAU PHD (NPI 1962506188) is an individual clinical provider in Longwood, Florida, licensed in Florida (PY 7684) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1962506188

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JOHN R THIBODEAUCredential: PHD

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

Sole ProprietorNo

Enumeration DateSeptember 8, 2006

Last NPPES UpdateJuly 1, 2009

✔ NPI 1962506188 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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Other Identifiers 1

Medicare ID-Type UnspecifiedIA0151

Other Providers at the Same Location NPPES

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

JOHN R THIBODEAU LLC

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 Thibodeau's NPI number?

The NPI number for John Thibodeau is 1962506188. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is John Thibodeau located?

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

What is John Thibodeau'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 Thibodeau was last updated on July 1, 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.