JOHN R THIBODEAU LLC – Clinical Psychologist, NPI 1417183419

JOHN R THIBODEAU LLC is a healthcare provider. based in Longwood, Florida. specializing in Clinical Psychologist. The organization holds a License No. PY 7684 (FL). The NPI Number for JOHN R THIBODEAU LLC is 1417183419

Main info

Organization
Name
JOHN R THIBODEAU LLC
NPI
1417183419
Phone
(321) 972-5693
Address
296 NEW WATERFORD PL
Authorized Official
DR. JOHN R. THIBODEAU SOLE MEMBER PH.D.
Enumeration Date
4 June 2009
Last Update Date
4 June 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for JOHN R THIBODEAU LLC

  • 296 NEW WATERFORD PL

    LONGWOOD, FL 327795656

    Phone: (321) 972-5693

    Fax: (321) 972-5693

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32779)

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Frequently asked questions

Can I verify JOHN R THIBODEAU LLC with an NPI only?
You can start verification with NPI 1417183419 for JOHN R THIBODEAU LLC, then check state licensing separately.
Is JOHN R THIBODEAU LLC still practicing?
JOHN R THIBODEAU LLC is currently listed as active in the public NPI registry.
What is JOHN R THIBODEAU LLC's specialty?
The listing groups JOHN R THIBODEAU LLC with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for JOHN R THIBODEAU LLC?
JOHN R THIBODEAU LLC's geographic hint is Longwood, Florida in our summary view.
Why does JOHN R THIBODEAU LLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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