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

Mrs. Jacqueline Mary McCullough, MSRDCDN

Individual provider Cardiovascular Disease Physician · NPI 1356312771

Mrs. Jacqueline Mary McCullough, MSRDCDN is a Registered Dietitian OR Nutrition Professional in Hamden, Connecticut. Qualified in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
23
Licensed in
CT
In the registry since
2006
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Practice location Address checks out

2200 Whitney Ave Ste 180
Hamden, CT 06518-3691
Phone: (203) 407-2500
Fax: (203) 407-5812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 000730 (CT)

Record details

NPI number1356312771
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSRDCDN
Sole proprietorYes
NPI enumeratedFebruary 1, 2006
Last updated in NPPESSeptember 19, 2016

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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