Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Stephanie Hidalgo, PSY-D

Individual provider Clinical Psychologist · NPI 1952828832

Jacqueline Stephanie Hidalgo, PSY-D is a Clinical Psychologist in Fort Myers, Florida. Qualified in 2016, 10 years ago. Practices with Lee Health System Inc, a 1,375-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

2780 Cleveland Ave Ste 709
Fort Myers, FL 33901-5857
Phone: (239) 343-3831
Fax: (239) 343-2301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY9966 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY9966 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952828832
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSY-D
Sole proprietorYes
NPI enumeratedAugust 23, 2017
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Myers