=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699985788
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CYNTHIA B. TODD, PH.D., LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/23/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1340 N US HIGHWAY 1 SUITE 102
-----------------------------------------------------
City | TEQUESTA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33469-3237
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-743-8854
-----------------------------------------------------
Fax | 561-741-8087
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 162 JONES CREEK DR
-----------------------------------------------------
City | JUPITER
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33458-7750
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-741-8087
-----------------------------------------------------
Fax | 561-741-8087
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. CYNTHIA B. TODD
-----------------------------------------------------
Credential | PH.D.
-----------------------------------------------------
Telephone | 561-743-8854
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TS0200X
-----------------------------------------------------
Taxonomy Name | School Psychologist
-----------------------------------------------------
License Number | SS 666
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | MH 5267
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------