Organization Active NPI

Vaughan Psychological Services

  • Mental Illness Community Based Residential Treatment Facility
  • Eustis, FL
National Provider Identifier
1285873992
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
PY6663 Issued in FL
Legal business name
VAUGHAN PSYCHOLOGICAL SERVICES
Practice address
3212 Site to See
Eustis, FL 32726-2344
Phone
(352) 357-5055
NPI assigned
Feb 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Dr. Nadine Vaughan
Title
Psychologist
Phone
(352) 457-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X PY6663 FL Primary

Addresses

Primary practice location

3212 Site to See
Eustis, FL 32726-2344

Mailing address

PO Box 1881
Mount Dora, FL 32756-1881
Phone (352) 457-5055

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1285873992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1881",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327561881",
            "telephone_number": "352-457-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 SITE TO SEE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262344",
            "telephone_number": "352-357-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAUGHAN PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "352-457-5055",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": "PY6663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.