Organization Active NPI

Nancy Marie Vrechek

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jupiter, FL
National Provider Identifier
1942611413
Registry record updated May 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
PY4538 Issued in FL
Legal business name
NANCY MARIE VRECHEK
Practice address
125 W Indiantown Rd
Ste 203a
Jupiter, FL 33458-3556
Phone
(561) 747-3997
Fax
(561) 747-0258
NPI assigned
May 18, 2014
Last updated
May 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2014

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

Authorized official

Name
Dr. Nancy Marie Vrechek, PH.D.NPI 1295746006
Title
Clinical Psychologist
Phone
(561) 747-3997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X PY4538 FL Primary

Addresses

Primary practice location

125 W Indiantown Rd
Ste 203a
Jupiter, FL 33458-3556

Mailing address

125 W Indiantown Rd
Ste 203a
Jupiter, FL 33458-3556
Phone (561) 747-3997

Other identifiers 2

IdentifierTypeStateIssuer
73766OtherFLMEDICARE
PY4538OtherFLFLORIDA LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1400371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400371200000",
    "number": "1942611413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W INDIANTOWN RD",
            "address_2": "STE 203A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583556",
            "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": "125 W INDIANTOWN RD",
            "address_2": "STE 203A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583556",
            "telephone_number": "561-747-3997",
            "fax_number": "561-747-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY MARIE VRECHEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-18",
        "last_updated": "2014-05-18",
        "status": "A",
        "authorized_official_last_name": "VRECHEK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "561-747-3997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "PY4538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "73766",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "PY4538",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.