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DR. JACQUELINE GUAJARDO PH.D
NPI 1437454717
Psychologist - Clinical in Hartford, CT

Active since January 19, 2011PECOS EnrolledAccepts Medicare Assignment
99 WOODLAND ST, HARTFORD, CT 06105(860) 714-4212(860) 714-8080 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Jacqueline Guajardo Ph.d NPPES

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

DR. JACQUELINE GUAJARDO PH.D (NPI 1437454717) is an individual clinical provider in Hartford, Connecticut, licensed in Connecticut (002876) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1437454717
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACQUELINE GUAJARDOCredential: PH.D
Location Address99 WOODLAND STHartford, CT 06105-1207
Mailing Address99 Woodland StHartford, CT 06105-1207 · (860) 714-4212
Phone(860) 714-4212
Fax(860) 714-8080
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 19, 2011
Last NPPES UpdateJuly 8, 2021
NPPES CertifiedJuly 8, 2021
✔ NPI 1437454717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CT · 002876
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.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 7187181 (NY)
99 WOODLAND ST, Hartford, CT 06105
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacqueline Guajardo Ph.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 ID9436172632
PECOS Enrollment IDI20151104000985
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NICOLE POOLE M.D.
Family Medicine
99 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-7527
JIAWEN YU DO
Student in an Organized Health Care Education/Training Program
99 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4212
ROBIN B. GOLD M.D.
Family Medicine
99 WOODLAND ST, ASYLUM HILL FAMILY MEDICINE CENTER, INC
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4212
GIAN GRANT-MCGARVEY MD, MPH
Family Medicine
99 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4212
DR. ZEWEN TAN MD
Student in an Organized Health Care Education/Training Program
99 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-7527
ROBERT A CUSHMAN M.D.
Family Medicine
99 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4212
DR. NAVEEN GARG M.D.
Family Medicine
99 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (718) 825-9051
SAMUEL LAWYER DO
Student in an Organized Health Care Education/Training Program
99 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4212

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 Jacqueline Guajardo's NPI number?

The NPI number for Jacqueline Guajardo is 1437454717. It was assigned to this individual provider in the NPPES registry on January 19, 2011.

Where is Jacqueline Guajardo located?

Jacqueline Guajardo practices at 99 Woodland St, Hartford, CT 06105. The listed phone number is (860) 714-4212.

What is Jacqueline Guajardo's specialty?

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

Is Jacqueline Guajardo enrolled in Medicare?

Yes. Jacqueline Guajardo 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Guajardo was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.