Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Kennedy, PSYD

Individual provider Psychologist · NPI 1336235621

Jacqueline Kennedy, PSYD is a Clinical Psychologist in Toledo, Ohio. Qualified in 1997, 29 years ago. Practices with State of Ohio Office of Budget and Management State Accounting, a 109-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
29
Licensed in
OH
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

930 S Detroit Ave
Toledo, OH 43614-2701
Phone: (419) 381-1881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 5546 (OH)

Record details

NPI number1336235621
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 21, 2022
Mailing address30 E Broad St, 11th Fl Attn: Tonya Fasone, Columbus, OH 43215-3414

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice State Of Ohio Office Of Budget And Management State Accounting — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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