Rachel Anne Vaughn, PSY.D, LCSW

Primary specialty

PsychologistTaxonomy code 103T00000X

License

026916 Issued in NY

Practice address

142 Joralemon St Ste 3E
Brooklyn, NY 11201-4709

Phone

(718) 935-0400

NPI assigned

Feb 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Dynamic Minds Treatment and Wellness Center PLLC

  • Clinical Psychologist
  • Union Grove, NC
  • NPI 1194673913
  NPD Authorized official

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1063785491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST STE 3E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014709",
            "telephone_number": "336-453-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST STE 3E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014709",
            "telephone_number": "718-935-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PSY.D, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "026916",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "6912",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Vattes
• Sridhar Vatti, MD
• Crystal Vaughan
• Karen Susan Vaughan, L.AC.
• Noni Vaughn-Pollard, NDTR, MHC-LP
• Brandi J Vaughns, LMSW
• Cherine Lorintina Vaught, LPN
• Catherine Blanche Vautor-Laplaceliere
• Vava Pharmacy Inc.
• Frantzlie Vaval

• Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.