Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glenn R Caddy PHD PA

Organization Adult Mental Health Clinic/Center · NPI 1871755579

Glenn R Caddy PHD PA is an Adult Mental Health Clinic/Center in Ft Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3101 N Federal Hwy Ste 301
Ft Lauderdale, FL 33306-1018
Phone: (954) 565-8850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X · Licence PY2093 (FL)

Record details

NPI number1871755579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Caddy — Owner · (954) 565-8850
NPI enumeratedJune 25, 2008
Last updated in NPPESDecember 2, 2008
Mailing address3101 N Federal Hwy, Suite 301, Ft Lauderdale, FL 33306-1018

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