JACQUELYN NGUYEN PSY.D.
NPI 1124542642
Psychologist in Ontario, CA

Active since July 26, 2017PECOS EnrolledAccepts Medicare Assignment
1011 N BEGONIA AVE STE 1009, ONTARIO, CA 91762(323) 786-2425 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2019, Jul 26, 2017 (2 updates tracked since 2017).

About Jacquelyn Nguyen Psy.d. NPPES

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

JACQUELYN NGUYEN PSY.D. (NPI 1124542642) is an individual psychologist in Ontario, California, licensed in California (PSY31128) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124542642
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJACQUELYN NGUYENCredential: PSY.D.
Location Address1011 N BEGONIA AVE STE 1009Ontario, CA 91762-2104
Mailing Address1011 N Begonia Ave Ste 1009Ontario, CA 91762-2104 · (323) 786-2425
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 26, 2017
Last NPPES UpdateAugust 22, 20192 updates tracked since enumeration
✔ NPI 1124542642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CA · PSY31128
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1011 N BEGONIA AVE STE 1009, Ontario, CA 91762

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacquelyn Nguyen Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163832635
PECOS Enrollment IDI20201112000880
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacquelyn Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
4000 MACARTHUR BLVD, SUITE 600, EAST TOWER
Newport Beach, CA 92660
  • Reassigned Medicare billing, California enrollment
  • 21 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

Marriage & Family Therapist
1011 N BEGONIA AVE STE 1009
ONTARIO, CA 91762
Counselor (Mental Health)
1011 N BEGONIA AVE STE 1009
ONTARIO, CA 91762
Psychiatry & Neurology (Psychiatry)
1011 N BEGONIA AVE STE 1009
ONTARIO, CA 91762
Psychologist
1011 N BEGONIA AVE STE 1009
ONTARIO, CA 91762
Marriage & Family Therapist
1011 N BEGONIA AVE STE 1009
ONTARIO, CA 91762
Psychologist
1011 N BEGONIA AVE STE 1009
ONTARIO, CA 91762
Psychologist (Clinical)
1011 N BEGONIA AVE STE 1009
ONTARIO, CA 91762
Marriage & Family Therapist
1011 N BEGONIA AVE STE 1009
ONTARIO, CA 91762

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Nguyen's NPI number?

The NPI number for Jacquelyn Nguyen is 1124542642. It was assigned to this individual provider in the NPPES registry on July 26, 2017.

Where is Jacquelyn Nguyen located?

Jacquelyn Nguyen practices at 1011 N Begonia Ave Ste 1009, Ontario, CA 91762. The listed phone number is (323) 786-2425.

What is Jacquelyn Nguyen's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jacquelyn Nguyen enrolled in Medicare?

Yes. Jacquelyn Nguyen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jacquelyn Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Nguyen reassigns Medicare benefits to (Newport Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyn Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacquelyn Nguyen was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.