JACOB ROBERT RUSCZEK PH.D.
NPI 1932622461
Psychologist - Clinical in Montpelier, VT

Active since July 17, 2017PECOS EnrolledAccepts Medicare Assignment
301 RIVER ST STE 204, MONTPELIER, VT 05602(802) 552-0548 Get Directions Write a Review

NPPES record last updated: July 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Robert Rusczek Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB ROBERT RUSCZEK PH.D. (NPI 1932622461) is an individual clinical provider in Montpelier, Vermont, licensed in Vermont (048.0121887) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1932622461
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJACOB ROBERT RUSCZEKCredential: PH.D.
Location Address301 RIVER ST STE 204Montpelier, VT 05602-4303
Mailing Address8 Wilder St Apt 5Montpelier, VT 05602-3818 · (802) 505-5026
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 17, 2017
NPI 1932622461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in VT · 048.0121887
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
301 RIVER ST STE 204, Montpelier, VT 05602

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacob Robert Rusczek Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345513651
PECOS Enrollment IDI20170908001364
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.48 typical visit price
range $55.80 – $168.48
Typical copayment $42.12 (range $13.95 – $42.12)
Most-billed visit code 99205
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Mental Health)
301 RIVER ST STE 204
MONTPELIER, VT 05602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Rusczek's NPI number?

The NPI number for Jacob Rusczek is 1932622461. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Where is Jacob Rusczek located?

Jacob Rusczek practices at 301 River St Ste 204, Montpelier, VT 05602. The listed phone number is (802) 552-0548.

What is Jacob Rusczek's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jacob Rusczek enrolled in Medicare?

Yes. Jacob Rusczek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Rusczek accept?

Health plans from Anthem Blue Cross and Blue Shield list Jacob Rusczek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Rusczek was last updated on July 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.