Organization Active NPI

Rachel Vaughn PSYD LLC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1013598747
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
RACHEL VAUGHN PSYD LLC
Practice address
51 E 14TH St Apt 710
Chicago, IL 60605-2980
Phone
(312) 860-2309
NPI assigned
Apr 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Rachel Vaughn, PSYDNPI 1477025021
Title
Clinical Psychologist
Phone
(312) 860-2309

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

51 E 14TH St Apt 710
Chicago, IL 60605-2980

Mailing address

111 North Wabash Ave
Mailbox 1410
Chicago, IL 60602
Phone (312) 860-2309

Other practice location 1

111 North Wabash Ave
1410
Chicago, IL 60602
Phone (312) 860-2309

National Provider Directory

National Provider Directory

Locations

111 N Wabash Ave
Ste 1410
Chicago, IL 60602
Phone (312) 860-2309

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1013598747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NORTH WABASH AVE",
            "address_2": "MAILBOX 1410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60602",
            "telephone_number": "312-860-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E 14TH ST APT 710",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052980",
            "telephone_number": "312-860-2309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 North Wabash Ave",
            "address_2": "1410",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60602",
            "country_code": "US",
            "telephone_number": "312-860-2309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RACHEL VAUGHN PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-860-2309",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.