JACKIE GUADAGNOLI, PH.D.
NPI 1114190873
Psychologist - Clinical in Kapaa, HI

Q: What is Jackie Guadagnoli, Ph.D.'s NPI number?

The NPI number for Jackie Guadagnoli, Ph.D. is 1114190873. It was assigned to this organization in the NPPES registry on April 2, 2008.

Q: What is Jackie Guadagnoli, Ph.D.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since April 02, 2008

4-1558 KUHIO HWY, KAPAA, HI 96746(808) 392-1111(808) 245-8762 Get Directions Write a Review

NPPES record last updated: April 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jackie Guadagnoli, Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE GUADAGNOLI, PH.D. (NPI 1114190873) is a healthcare organization registered as a clinical in Kapaa, Hawaii and active in the NPI registry since April 2008. The organization lists Jackie Guadagnoli, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1114190873

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameJACKIE GUADAGNOLI, PH.D.

Location Address4-1558 KUHIO HWYKapaa, HI 96746-1856

Mailing Address4-1558 Kuhio HwyKapaa, HI 96746-1856 · (808) 392-1111 · Fax (808) 245-8762

Phone(808) 392-1111

Fax(808) 245-8762

Organization SubpartNo

Authorized OfficialJackie GuadagnoliPsychologist · (808) 392-1111

Enumeration DateApril 2, 2008

✔ NPI 1114190873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in HI · PSY-817

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4-1558 KUHIO HWY, Kapaa, HI 96746

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Other Identifiers 2

Medicaid55079017HI

Medicare PIN103320HI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEE A. EVSLIN, M.D. INC

General Practice