Jacqueline Guajardo, PH.D
NPI 1437454717ActiveIndividual· Psychologist, Clinical· Hartford, CT
Psychologist, Clinical (PH.D) with Asylum Hill Family Medicine Center, Inc., practicing in Hartford, Connecticut. Medicare paid $5,294 for services to 11 patients in 2024.
Overview
| NPI | 1437454717 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D |
| Sole proprietor | No |
| NPI issued | Jan 19, 2011 |
| Last updated in NPPES | Jul 8, 2021 |
| Certified by provider | Jul 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 002876 | CT |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 7187181 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 68 across 3 procedure codes |
| Paid by Medicare | $5,294 |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Asylum Hill Family Medicine Center, Inc.Hartford, CT · 23 clinicians
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