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

Jacob Rusczek PHD PLLC

Organization Adult Mental Health Clinic/Center · NPI 1114796489

Jacob Rusczek PHD PLLC is an Adult Mental Health Clinic/Center in Montpelier, Vermont. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

301 River St Ste 204
Montpelier, VT 05602-4327
Phone: (802) 505-5026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X

Record details

NPI number1114796489
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Rusczek — Owner · (802) 505-5026
NPI enumeratedDecember 27, 2023
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023
Mailing address301 River St Ste 204, Montpelier, VT 05602-4327

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