DR. GLENN ROSS CADDY (NPI# 1497926687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497926687 |
| Entity Type | Individual |
| Full Name | DR. GLENN ROSS CADDY |
| Credential | PH.D. |
| Practice Address |
3101 North Federal Highway Suite 301 Ft. Lauderdale FL 33306 |
| Practice Telephone | 9545658850 |
| Practice Fax Number | 9545659860 |
| Mailing Telephone | 9545658850 |
| Mailing Fax Number | 9545659860 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY2093 | FL | Behavioral Health & Social Service Providers |
| Street Address |
3101 NORTH FEDERAL HIGHWAY SUITE 301 |
| City | FT. LAUDERDALE |
| State | FL |
| Zip Code | 33306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568927705 | Peaceful Prana Therapy, LLC | Social Worker | 2300 E Oakland Pk Blvd, Ste 206, Plantation, FL 33306 | 2019-02-01 |
| 1215429717 | Pain Treatment Specialists | Pain Medicine | 2601 E Oakland Park Blvd Ste 200, Fort Lauderdale, FL 33306 | 2018-05-31 |
| 1740779735 | Complete Family Dentistry, LLC | Dentist | 3015 Bayview Drive Suite B, Fort Lauderdale, FL 33306 | 2018-05-04 |
| 1104281856 | Raiselle Gittler | Massage Therapist | 4640 E Federal Hwy, Suite F, Fort Lauderdale, FL 33306 | 2015-12-23 |
| 1952703308 | Joseph Carlo Pastura | Dentist | 3051 N. Federal Hwy, Ft. Lauderdale, FL 33306 | 2014-09-17 |
| 1679857247 | Massage Therapy By Rina Richard Inc. | Massage Therapist | 2881 East Oakland Park Blvd. Ste # 113, Fort Lauderdale, FL 33306 | 2011-09-30 |
| 1467757393 | Paramount Wellness Group LLC | Chiropractor | 2745 E. Oakland Park Blvd., Fort Lauderdale, FL 33306 | 2011-01-25 |
| 1679800684 | Marcia Lynne Sills | Internal Medicine | 2741 Ne 34th Street, Fort Lauderdale, FL 33306 | 2009-11-11 |
| 1518133479 | Christopher M Schloss | Dentist | 2916 Bayview Drive, Fort Lauderdale, FL 33306 | 2008-05-01 |
| 1730375270 | Contemporale Inc | Dentist | 3051 N Federal Hwy, Fort Lauderdale, FL 33306 | 2007-09-19 |
| Find all providers in zip 33306 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
| 1922607381 | Michelle Mcnally | Psychologist | 6945 Halton Park Ln, Coconut Creek, FL 33073-2170 | 2020-10-18 |
| 1427665322 | Salubrious Psychological Services | Psychologist | 865 Nw 208th Cir, Pembroke Pines, FL 33029-1908 | 2020-09-25 |
| 1396351979 | Daniela Oliveira De Medeiros | Psychologist | 111 Majorca Ave # B, Coral Gables, FL 33134-4508 | 2020-09-19 |
| 1235744327 | Lisa Stewart | Psychologist | 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 | 2020-09-15 |
| 1265047047 | Anissa York | Psychologist | 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 | 2020-09-09 |
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1801413315 | Steven David Macchione | Psychologist | 328 Nw 97th Ave, Plantation, FL 33324-7068 | 2020-06-30 |
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | FT. LAUDERDALE |
| Zip Code | 33306 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.