DR. THOMAS HIBBERD (NPI# 1710019625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710019625 |
| Entity Type | Individual |
| Full Name | DR. THOMAS HIBBERD |
| Credential | PH.D. |
| Practice Address |
105 W. Dampier Street Inverness FL 34450 |
| Practice Telephone | 3528600100 |
| Practice Fax Number | 3528600166 |
| Mailing Telephone | 3528600100 |
| Mailing Fax Number | 3528600166 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2018-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 4704 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS OF FL | 59617 | 01 |
| Street Address |
105 W. DAMPIER STREET |
| City | INVERNESS |
| State | FL |
| Zip Code | 34450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578077962 | Loving Care In Home Services Inc | In Home Supportive Care | 7936 E. Gulf To Lake Hwy, Inverness, FL 34450 | 2017-11-22 |
| 1366826687 | Samantha Lynn Sanders | Counselor | 3094 S Blackmountain Dr, Inverness, CA 34450 | 2015-07-16 |
| 1083000582 | Brent Mobley | Counselor | 1001 E Baker Street #1001, H.e.a.d.s Usa, Plant City, FL 34450 | 2015-04-10 |
| 1265833263 | Kenneth Heimann | Pharmacist | 214 U.S. Hwy 41 South, Inverness, FL 34450 | 2014-09-09 |
| 1437490471 | Dawn Marie Elliott | Dietitian, Registered | 453 Landing Blvd., Inverness, FL 34450 | 2013-03-14 |
| 1720331028 | Erica's Equities Inc. | Assisted Living Facility | 109 N. Seminole Ave., Inverness, FL 34450 | 2012-10-24 |
| 1629320080 | Debbie L Kelley | Counselor | 107 Dr. Martin Luther King Jr. Ave, Suite 2, Inverness, FL 34450 | 2012-10-10 |
| 1023393899 | Timothy Clayton Rowell | Social Worker | 107 Dr Martin Luther King Jr Ave Ste 1, Inverness, FL 34450 | 2011-10-12 |
| 1922249986 | West Florida Medical Associates, Pa | Family Medicine | 511 W Highland Ave., Inverness, FL 34450 | 2009-03-20 |
| 1760553614 | Ronald J Fagan | Dentist | 1128 W Main St, Inverness, FL 34450 | 2006-11-13 |
| Find all providers in zip 34450 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114542669 | Diane Lin Phd LLC | Psychologist | 1627 W Colonial Pkwy Ste 302, Inverness, IL 60067-4732 | 2020-06-10 |
| 1346628252 | Maria Vassileva | Psychologist | 1619 W Colonial Pkwy Ste 107, Inverness, IL 60067-4732 | 2015-05-12 |
| 1205010550 | Tobias and Associates, P.C. | Psychologist | 1644 Colonial Parkway 2nd Floor, Inverness, IL 60067 | 2007-12-21 |
| 1043437049 | Proactive Behavioral Services, Inc. | Psychologist | 1644 W. Colonial Pkwy., Inverness, IL 60067-1207 | 2007-04-19 |
| 1669568689 | Shirley Butler | Psychologist | 1627 W Colonial Pkwy Ste 205, Inverness, IL 60067-4732 | 2006-10-05 |
| 1346274529 | Marie-anne Salvio | Psychologist | 957 S Lois Ter, Suite 102, Inverness, FL 34452-3267 | 2006-07-11 |
| 1992706642 | Susan C Reeder | Psychologist | 480 Pleasant Grove Rd, Inverness, FL 34452-5746 | 2005-08-03 |
| 1497262448 | Lumos Psychology LLC | Psychologist | 1619 W Colonial Pkwy Ste 107, Inverness, IL 60067-4732 | 2017-12-29 |
| 1063790749 | Loay J Sandouka | Psychologist | 1644 W Colonial Pkwy, Inverness, IL 60067-1207 | 2011-07-28 |
| 1669586574 | Bradley G Small | Psychologist | 1644 W Colonial Pkwy, Inverness, IL 60067-1207 | 2006-08-18 |
| Find all providers in INVERNESS | ||||
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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.