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VAUGHN R JEFFERSON PSYD MDIV LP LLC
NPI 1801036272
Psychologist - Clinical in Shoreview, MN

Active since February 25, 2009
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: November 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vaughn R Jefferson Psyd Mdiv Lp Llc NPPES

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

VAUGHN R JEFFERSON PSYD MDIV LP LLC (NPI 1801036272) is a healthcare organization registered as a clinical in Shoreview, Minnesota and active in the NPI registry since February 2009. The organization lists Vaughn Robert Jefferson, President, as its authorized official.

NPPES Registry Identity

NPI1801036272
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameVAUGHN R JEFFERSON PSYD MDIV LP LLC
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
Phone(651) 483-1333
Fax(651) 789-3088
Organization SubpartNo
Authorized OfficialVaughn Robert JeffersonPresident · (651) 483-1333
Enumeration DateFebruary 25, 2009
Last NPPES UpdateNovember 6, 2014
✔ NPI 1801036272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP 1666
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1030 WEST COUNTY ROAD E, Shoreview, MN 55126
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Other Identifiers 3

Medicare PINC05301MN
Medicaid688750300MN
Medicare PIN680002685MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. VAUGHN ROBERT JEFFERSON JR. PSY.D.
Psychologist
1030 WEST COUNTY ROAD E, STE 260
SHOREVIEW, MN 55126
Ramsey County (651) 483-1333

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 R Jefferson Psyd Mdiv LP LLC's NPI number?

The NPI number for Vaughn R Jefferson Psyd Mdiv LP LLC is 1801036272. It was assigned to this organization in the NPPES registry on February 25, 2009.

Where is Vaughn R Jefferson Psyd Mdiv LP LLC located?

Vaughn R Jefferson Psyd Mdiv LP LLC is located at 1030 West County Road E Ste 260, Shoreview, MN 55126. The listed phone number is (651) 483-1333.

What is Vaughn R Jefferson Psyd Mdiv LP LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Vaughn R Jefferson Psyd Mdiv LP LLC was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.