OrganizationActive
John R Thibodeau LLC
NPI 1417183419 · Clinical Psychologist · Longwood, FL
John R Thibodeau LLC is a Clinical Psychologist organization in Longwood, FL (NPI 1417183419).
Provider details
- NPI number
- 1417183419
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- John Thibodeau, Sole Member(321) 972-5693
- License
- PY 7684 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
296 New Waterford Pl
Longwood, FL 32779-5656
Phone: (321) 972-5693
Fax: (321) 972-5693
Street-level locationGet directions
Mailing address
296 New Waterford Pl
Longwood, FL 32779-5656
Registry dates
- Enumerated
- 2009-06-04
- Last updated
- 2009-06-04
Frequently asked questions
- What is John R Thibodeau LLC's NPI number?
- John R Thibodeau LLC's National Provider Identifier (NPI) is 1417183419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is John R Thibodeau LLC?
- John R Thibodeau LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is John R Thibodeau LLC located?
- John R Thibodeau LLC's practice location on file with NPPES is 296 New Waterford Pl, Longwood, FL 32779-5656.
- What is John R Thibodeau LLC's phone number?
- The practice phone number listed in the NPPES registry for John R Thibodeau LLC is (321) 972-5693.
- Who is the authorized official for John R Thibodeau LLC?
- The authorized official listed on John R Thibodeau LLC's NPPES record is John Thibodeau, Sole Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is John R Thibodeau LLC's NPI active?
- Yes — John R Thibodeau LLC's NPI (1417183419) is active in the NPPES registry as of the last update on 2009-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.