JACOB RUSCZEK PHD PLLC NPI 1114796489

NPI Information

  • NPI: 1114796489
  • Provider Name: JACOB RUSCZEK PHD PLLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 301 RIVER ST STE 204
    MONTPELIER, VT
    ZIP 05602
  • Phone: (802) 505-5026

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NPI Details

JACOB RUSCZEK PHD PLLC is an adult mental health clinic center in Montpelier, VT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. JACOB RUSCZEK PHD PLLC NPI is 1114796489. The provider is registered as an organization entity type.

The provider's business location address is:

301 RIVER ST STE 204
MONTPELIER, VT
ZIP 05602-327
Phone: (802) 505-5026

The provider's authorized official is Jacob Robert Rusczek .
The authorized official title is Owner and has the following contact phone number (802) 505-5026.

The enumeration date for this NPI number is 12/27/2023 and was last updated on 12/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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