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

Jaclyn Marie Vitkovsky

Individual provider Registered Nurse · NPI 1508472259

Jaclyn Marie Vitkovsky is a Nurse Practitioner in Torrington, Connecticut. Qualified in 2019, 7 years ago. Practices with North Star Behavioral Health Services LLC, a 3-clinician group, works from 2 locations and offers telehealth. Licensed in Connecticut.

Years since qualifying
7
Licensed in
CT
In the registry since
2020
Specialties on file
2

Practice location Address checks out

503 New Harwinton Rd
Torrington, CT 06790-5845
Phone: (914) 552-2868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 167 Cherry St # 101, Milford, CT 06460-3466 — (203) 524-2000

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 9168 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 107346 (CT)

Record details

NPI number1508472259
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2020
Last updated in NPPESNovember 3, 2020
Certification dateNovember 2, 2020
Mailing address79 Woodside Ct, Watertown, CT 06795-1152

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice North Star Behavioral Health Services Llc — 3 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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