Individual provider Active NPI

Nancy Marie Vrechek, PH.D.

  • Clinical Psychologist
  • Jupiter, FL
National Provider Identifier
1295746006
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0004538 Issued in FL
Practice address
725 N Highway A1A Ste B106
Jupiter, FL 33477-4564
Phone
(561) 747-3997
Fax
(561) 747-0258
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY0004538 FL Primary

Addresses

Primary practice location

725 N Highway A1A Ste B106
Jupiter, FL 33477-4564

Mailing address

725 N Highway A1A Ste B106
Jupiter, FL 33477-4564
Phone (561) 747-3997

Other identifiers 1

IdentifierTypeStateIssuer
73766MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY0004538FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Marie Vrechek PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nvrechekv21076@jupitermedicalcenter.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295746006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N HIGHWAY A1A STE B106",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774564",
            "telephone_number": "561-747-3997",
            "fax_number": "561-747-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N HIGHWAY A1A STE B106",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774564",
            "telephone_number": "561-747-3997",
            "fax_number": "561-747-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRECHEK",
        "first_name": "NANCY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0004538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73766",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.