DR. JOHN R THIBODEAU (PHD) – Clinical Psychologist, NPI 1962506188

DR. JOHN R THIBODEAU (PHD) is a healthcare provider. based in Longwood, Florida. specializing in Clinical Psychologist. They hold the professional credentials PHD. They hold a License No. PY 7684 (FL). The NPI Number for DR. JOHN R THIBODEAU (PHD) is 1962506188

Main info

Male
Name
DR. JOHN R THIBODEAU (PHD)
NPI
1962506188
Phone
(321) 972-5693
Address
296 NEW WATERFORD PL
Enumeration Date
8 September 2006
Last Update Date
1 July 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. JOHN R THIBODEAU (PHD)

  • 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)

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Medicare Enrollment & Revalidation

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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 cross-check DR. JOHN R THIBODEAU (PHD) using NPI 1962506188?
NPI 1962506188 belongs to DR. JOHN R THIBODEAU (PHD); compare other details if you need extra assurance.
Is DR. JOHN R THIBODEAU (PHD) still an active registrant?
DR. JOHN R THIBODEAU (PHD) carries an active NPI according to the public dataset.
What expertise is attributed to DR. JOHN R THIBODEAU (PHD)?
DR. JOHN R THIBODEAU (PHD)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JOHN R THIBODEAU (PHD)?
Travel planning: use Longwood, Florida as the reference point for DR. JOHN R THIBODEAU (PHD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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