Jada D. Vaughan, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY10390 Issued in FL

Practice address

1024 Willa Springs Dr
Winter Springs, FL 32708-5214

Phone

(561) 790-1191

NPI assigned

Feb 13, 2006

Last updated

Jun 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alternative Oppurtunities

  dba Health Resources of Arkansas

  • Case Management Agency
  • Batesville, AR
  • NPI 1720063779
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1043283633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4544 HIGHWAY 157",
            "city": "JUDSONIA",
            "state": "AR",
            "postal_code": "720819138",
            "telephone_number": "501-728-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 WILLA SPRINGS DR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085214",
            "telephone_number": "561-790-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "JADA",
        "middle_name": "D.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Nicole Twiddy
• Joan Tyrell Chambers
• Schaneal Marie Unietis, FNP-C
• Lauren Urse
• Thomas J Vagnini, R.PH, D.PH
• Hope Vega
• Frances Aline Velez-Ramos
• Laurence Bagayas Verdeflor, RPT
• Marygrace Atam Verdeflor, RPT
• Mayur Vibhakar, RPH

• Clinical Psychologist in Winter Springs, FL
• Providers in Winter Springs, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.