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Jackie Guadagnoli, Ph.D.

Jackie Guadagnoli, Ph.D. is a healthcare organization registered as Clinical Psychologist in Kapaa, HI, holding Type 2 (organization) NPI 1114190873 since 2008. The authorized official on file is Jackie Guadagnoli, Psychologist.

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NPI 1114190873
Entity type Organization (Type 2)
Legal business name Jackie Guadagnoli, Ph.D.
Practice address 4-1558 KUHIO HWY, Kapaa, HI, 96746
Phone 8083921111
Fax 8082458762
Enumeration date 2008-04-02
Last updated in NPPES 2008-04-02

Authorized official

Name Jackie Guadagnoli
Title Psychologist
Phone 8083921111

Taxonomy & classification

Taxonomy code Specialty Primary License State
103TC0700X Clinical Psychologist Primary PSY-817 HI

Other identifiers

Identifier Type State Issuer
55079017 Medicaid HI
Copy-ready billing details
Provider: Jackie Guadagnoli, Ph.D.
NPI: 1114190873
Taxonomy: 103TC0700X (Clinical Psychologist)
Address: 4-1558 KUHIO HWY, Kapaa, HI, 96746

Providers at this address

NPI Name Type Specialty Location
1730172123 Sharon Offley Individual Midwife Kapaa, HI
1912063389 Gregory Smith Individual Chiropractor Kapaa, HI
1780736926 Cspt LLC Organization Physical Therapist Kapaa, HI
1588799373 Susan Hall Individual Psychologist Kapaa, HI
1447373865 Lee Evslin Individual Pediatrics Physician Kapaa, HI
1598950461 Smith Chiropractic LLC Organization Chiropractor Kapaa, HI
1336335462 Tanya Gamby, Ph.D. Inc Organization Community/Behavioral Health Agency Kapaa, HI
1588804918 Joy Tamaribuchi Individual Family Nurse Practitioner Kapaa, HI

Verify this record

Cross-check NPI 1114190873 against the authoritative CMS record: view Jackie Guadagnoli, Ph.D. on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Who is the authorized official for Jackie Guadagnoli, Ph.D.?
NPPES lists Jackie Guadagnoli (Psychologist) as the authorized official for this organization.
What is the NPI number for Jackie Guadagnoli, Ph.D.?
The NPI for Jackie Guadagnoli, Ph.D. is 1114190873, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-02.