DR. VAUGHN ROBERT JEFFERSON JR. PSY.D.
NPI 1427081413
Psychologist in Shoreview, MN

Active since July 10, 2006
1030 WEST COUNTY ROAD E, STE 260, SHOREVIEW, MN 55126(651) 483-1333(651) 789-3088 Get Directions Write a Review

NPPES record last updated: March 16, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Vaughn Robert Jefferson Jr. Psy.d. NPPES

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

DR. VAUGHN ROBERT JEFFERSON JR. PSY.D. (NPI 1427081413) is an individual psychologist in Shoreview, Minnesota, licensed in Minnesota (LP1666) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1427081413
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. VAUGHN ROBERT JEFFERSON JR.Credential: PSY.D.
Location Address1030 WEST COUNTY ROAD E, STE 260Shoreview, MN 55126
Mailing Address1030 West County Road E, Ste 260Shoreview, MN 55126 · (651) 483-1333 · Fax (651) 789-3088
Fax(651) 789-3088
Sole ProprietorYes
Enumeration DateJuly 10, 2006
Last NPPES UpdateMarch 16, 2010
✔ NPI 1427081413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MN · LP1666
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1030 WEST COUNTY ROAD E, Shoreview, MN 55126

Other Identifiers 3

Medicaid688750300MN
Medicare PINC05301MN
Medicare PIN680002685MN

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
1030 WEST COUNTY ROAD E, STE 260
SHOREVIEW, MN 55126

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 Vaughn Jefferson's NPI number?

The NPI number for Vaughn Jefferson is 1427081413. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Vaughn Jefferson located?

Vaughn Jefferson practices at 1030 West County Road E Ste 260, Shoreview, MN 55126. The listed phone number is (651) 483-1333.

What is Vaughn Jefferson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Vaughn Jefferson was last updated on March 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.