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John Thibodeau, PHD
NPI 1962506188 · Clinical Psychologist · Longwood, FL
John Thibodeau, PHD is a Clinical Psychologist provider in Longwood, FL (NPI 1962506188).
Provider details
- NPI number
- 1962506188
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- PY 7684 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-09-08
- Last updated
- 2009-07-01
Frequently asked questions
- What is John Thibodeau's NPI number?
- John Thibodeau's National Provider Identifier (NPI) is 1962506188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Thibodeau's specialty?
- John Thibodeau is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is John Thibodeau located?
- John Thibodeau's practice location on file with NPPES is 296 New Waterford Pl, Longwood, FL 32779-5656.
- What is John Thibodeau's phone number?
- The practice phone number listed in the NPPES registry for John Thibodeau is (321) 972-5693.
- Is John Thibodeau's NPI active?
- Yes — John Thibodeau's NPI (1962506188) is active in the NPPES registry as of the last update on 2009-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.