Jacob Rusczek PHD PLLC
NPI 1114796489 · Adult Mental Health Clinic/Center · Montpelier, VT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Rusczek PHD PLLC is a Adult Mental Health Clinic/Center organization in Montpelier, VT (NPI 1114796489).
Provider details
- NPI number
- 1114796489
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Rusczek, Owner(802) 505-5026
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-27
- Last updated
- 2023-12-27
- Certified
- 2023-12-27
Frequently asked questions
- What is Jacob Rusczek PHD PLLC's NPI number?
- Jacob Rusczek PHD PLLC's National Provider Identifier (NPI) is 1114796489, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacob Rusczek PHD PLLC?
- Jacob Rusczek PHD PLLC is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jacob Rusczek PHD PLLC located?
- Jacob Rusczek PHD PLLC's practice location on file with NPPES is 301 River St Ste 204, Montpelier, VT 05602-4327.
- What is Jacob Rusczek PHD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jacob Rusczek PHD PLLC is (802) 505-5026.
- Does Jacob Rusczek PHD PLLC accept Medicare?
- Jacob Rusczek PHD PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jacob Rusczek PHD PLLC?
- The authorized official listed on Jacob Rusczek PHD PLLC's NPPES record is Jacob Rusczek, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacob Rusczek PHD PLLC's NPI active?
- Yes — Jacob Rusczek PHD PLLC's NPI (1114796489) is active in the NPPES registry as of the last update on 2023-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.