JACQUELINE STEPHANIE HIDALGO PSY-D
NPI 1952828832
Psychologist in Fort Myers, FL

NPI Status: Active since August 23, 2017

Contact Information

2780 CLEVELAND AVE STE 709
FORT MYERS, FL
ZIP 33901
Phone: (239) 343-3831
Fax: (239) 343-2301

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  • Individual
  • Female
  • Years of Experience 10
  • Psychologist
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JACQUELINE HIDALGO

This page provides the complete NPI Profile along with additional information for Jacqueline Hidalgo, a provider established in Fort Myers, Florida with a medical specialization in Psychologist and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1952828832 assigned on August 2017. The practitioner's primary taxonomy code is 103T00000X with license number PY9966 (FL). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1952828832
Provider Name
JACQUELINE STEPHANIE HIDALGO PSY-D
Gender
Female
Entity Type
Individual
Location Address
2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901
Location Phone
(239) 343-3831
Location Fax
(239) 343-2301
Mailing Address
PO BOX 2147 FORT MYERS, FL 33902
Mailing Phone
(239) 343-3831
Mailing Fax
(239) 343-2301
Medical School Name
OTHER
Graduation Year
2016
Is Sole Proprietor?
Yes
Enumeration Date
08-23-2017
Last Update Date
03-25-2021
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A psychologist like Jacqueline Hidalgo studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
PY9966
License State
FL
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

PY9966 (FL)
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AvMed Entrust Bronze 600 (2025) - HMO
  • AvMed Entrust Bronze 650 (2025) - HMO
  • AvMed Entrust Expanded Bronze Standard (2025) - HMO
  • AvMed Entrust Gold 125 (2025) - HMO
  • AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
  • AvMed Entrust Gold Standard (2025) - HMO
  • AvMed Entrust Platinum 25 (2025) - HMO
  • AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
  • AvMed Entrust Platinum Standard (2025) - HMO
  • AvMed Entrust Silver 350 (2025) - HMO
  • Connect Bronze 0 Indiv Med Deductible - EPO
  • Connect Bronze 5500 Indiv Med Deductible - EPO
  • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold 2000 Indiv Med Deductible - EPO
  • Connect Gold 800 Indiv Med Deductible - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 3600 Indiv Med Deductible - EPO
  • Connect Silver 4300 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Gold Elite Saver Plus - EPO
  • Secure - EPO
  • Silver Classic Standard - EPO
  • Silver Elite - EPO
  • Silver Simple Chronic Care CKM - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100459600MEDICAID (05)FL 

Medicare Participation & PECOS Enrollment Status

Jacqueline Hidalgo is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jacqueline Hidalgo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7113293317

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20171016001384

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Psychotherapy, 45 minutes

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

This service was performed 56 times for 12 patients

Reviews for JACQUELINE STEPHANIE HIDALGO PSY-D

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1952828832
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291021621686
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 1 + 6 + 2 + 1 + 6 + 8 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1952828832 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174819395 BANAFSHEH KIANKHOOY FARD M.D.
Individual
Pediatrics (Adolescent Medicine)2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-3831
1780098087 MICHAEL KENNETH HEILAND MD
Individual
Family Medicine2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-3831
1902867054 JAMES O BREEN M.D.
Individual
Family Medicine2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-3831
1568046050 SANDY BOLIS DO
Individual
Student in an Organized Health Care Education/Training Program2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-2551
1972088631 RENEE LOK-YEE WONG SOUCIER MD
Individual
Family Medicine2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-2551
1225779937DR. APRIL KAY BURTON DO
Individual
Student in an Organized Health Care Education/Training Program2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 223-1478
1417452996 KRISTIN RANDA DO
Individual
Family Medicine2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-3831
1497314884 DELAYNA HORSFORD MD
Individual
Family Medicine2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-2551
1396306320DR. JORDAN MICHAEL REID MD
Individual
Family Medicine2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-2551
1528697240 GERARD MULLES MD
Individual
Family Medicine2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 297-9220
1821656216 GABRIELA ALEJANDRA AVILES
Individual
Family Medicine2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-2551
1891498341 CATHERINE SCUDLO MD
Individual
Student in an Organized Health Care Education/Training Program2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-2551
1922177260DR. PAUL GREGORY SIMEONE PH.D.
Individual
Psychologist (Clinical)2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-3831
1912526740 HARIA HENRY MD
Individual
Family Medicine2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-3831
1942990957 JENNA DUFFY PA-C
Individual
Physician Assistant2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-3831
1518608942DR. JOANNA GREENHALGH DO
Individual
Family Medicine2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-2371
1659012623 MARK FAM DO
Individual
Family Medicine2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-2371
1801537550DR. STEPHANIE CRUZ DO
Individual
Family Medicine2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-3831
1245972611 ANTONY MIKHAIL
Individual
Family Medicine2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-2371
1164165643DR. SNIGDHA ILA DO
Individual
Family Medicine2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
(239) 343-3831

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952828832, enumerated in the NPI registry as an "individual" on August 23, 2017

The provider is located at 2780 Cleveland Ave Ste 709 Fort Myers, Fl 33901 and the phone number is (239) 343-3831

The provider's speciality is Psychologist with taxonomy code 103T00000X

The provider has more than 10 years of experience.

The provider might be accepting Accepts: AvMed, Cigna Healthcare, Florida Blue (BlueCross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

The most common procedures or services performed by this practitioner are: Psychotherapy, 45 minutes.

This NPI record was last updated on August 23, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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