Jacob Vicente, DNP, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in West Hartford, Connecticut
1316689078- Practice location
- 836 Farmington Ave Ste 109, West Hartford, CT 06119-1544
- Phone
- 203-691-1685
- Fax
- 203-891-6763
- Last updated
- June 24, 2025
Jacob Vicente is a Nurse Practitioner, Psych/Mental Health based in West Hartford, CT. Jacob Vicente practices in West Hartford, CT and has the professional credentials of DNP, PMHNP-BC. The NPI Number for Jacob Vicente is 1316689078 and holds a License No. RN2309147 (MA). The current practice location address for Jacob Vicente is 836 Farmington Ave Ste 109, West Hartford, CT 06119-1544 and can be reached out via phone at 203-691-1685 and via fax at 203-891-6763.
Provider Profile Details
- NPI Number
- 1316689078
- Provider Name
- Jacob Vicente
- Credential
- DNP, PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 836 Farmington Ave Ste 109, West Hartford, CT 06119-1544
- Phone Number
- 203-691-1685
- Fax Number
- 203-891-6763
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 12, 2022
- Last Update Date
- June 24, 2025
- Certification Date
- June 24, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 836 Farmington Ave Ste 109
West Hartford, CT 06119-1544 - City
- West Hartford
- State
- Connecticut
- Zip
- 06119-1544
- Phone Number
- 203-691-1685
- Fax Number
- 203-891-6763
Provider Business Mailing Address Details
- Address
- 836 Farmington Ave Ste 109
West Hartford, CT 06119-1544 - City
- West Hartford
- State
- CT
- Zip
- 06119-1544
- Phone Number
- 203-691-1685
- Fax Number
- 203-891-6763
License Information
- License Number (1)
- RN2309147
- License State (1)
- MA
- Taxonomy (1)
- Registered Nurse, Hemodialysis · 163WH0500X
- License Number (2)
- RN2309147
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (3)
- 14685
- License State (3)
- CT
- Taxonomy (3)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jacob Vicente, DNP, PMHNP-BC?
The NPI number of Jacob Vicente, DNP, PMHNP-BC is 1316689078. It was assigned on April 12, 2022 and is currently active in the NPPES registry.
What is the specialty of Jacob Vicente, DNP, PMHNP-BC?
Jacob Vicente, DNP, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2309147.
Where does Jacob Vicente, DNP, PMHNP-BC practice?
The practice location is 836 Farmington Ave Ste 109, West Hartford, CT 06119-1544. The office can be reached at 203-691-1685 (phone) or 203-891-6763 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316689078 directly on the NPPES registry website.