DR. JENNIFER ANNE VAUGHAN PHD
NPI 1457936288
Psychologist in San Diego, CA

Active since March 12, 2021PECOS Enrolled
13191 KELLAM CT APT 96, SAN DIEGO, CA 92130(415) 518-1888 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2023, Mar 12, 2021 (2 updates tracked since 2021).

About Dr. Jennifer Anne Vaughan Phd NPPES

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

DR. JENNIFER ANNE VAUGHAN PHD (NPI 1457936288) is an individual psychologist in San Diego, California, licensed in California (32450) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457936288
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JENNIFER ANNE VAUGHANCredential: PHD
Location Address13191 KELLAM CT APT 96San Diego, CA 92130-1279
Mailing Address13191 Kellam Ct Apt 96San Diego, CA 92130-1279 · (415) 518-1888
Sole ProprietorYes
Enumeration DateMarch 12, 2021
Last NPPES UpdateMarch 9, 20232 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
NPI 1457936288 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 CA · 32450
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.
13191 KELLAM CT APT 96, San Diego, CA 92130

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jennifer Anne Vaughan Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
125 services12 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
29 services29 patients

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 Jennifer Vaughan's NPI number?

The NPI number for Jennifer Vaughan is 1457936288. It was assigned to this individual provider in the NPPES registry on March 12, 2021.

Where is Jennifer Vaughan located?

Jennifer Vaughan practices at 13191 Kellam Ct Apt 96, San Diego, CA 92130. The listed phone number is (415) 518-1888.

What is Jennifer Vaughan's specialty?

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

Is Jennifer Vaughan enrolled in Medicare?

Yes. Jennifer Vaughan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Vaughan was last updated on March 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.