Individual provider Active NPI

Christina Vaughn, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Parkersburg, WV
National Provider Identifier
1417531799
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
109113 Issued in WV
Practice address
3194 Core Rd
Parkersburg, WV 26104-1556
Phone
(304) 485-5185
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61458129 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 109113 WV Primary

Addresses

Primary practice location

3194 Core Rd
Parkersburg, WV 26104-1556

Mailing address

3194 Core Rd
Parkersburg, WV 26104-1556
Phone (304) 485-5185

Other identifiers 2

IdentifierTypeStateIssuer
109113OtherWVWV BOARD OF NURSING
AP61458129OtherWALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220630002166 OH Practitioner - Nurse Practitioner 1254733637 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61458129WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Psychological Services, LTD. CurrentSince Mar 16, 2023 Accepting new patients
Sunny Day Mental Health PLLC Psychiatric/Mental Health CurrentSince Dec 8, 2024 Accepting new patients
Mahajan Therapeutics, LLC CurrentSince Jul 4, 2023 Accepting new patients
Mindrx, LLC Past Accepting new patients

Locations

6300 N Main St
Dayton, OH 45415
Phone (937) 275-1500

170 Pinecrest Dr
Gallipolis, OH 45631
Phone (740) 441-8313

917 SW Oak St
Ste 417
Portland, OR 97205
Phone (503) 994-1049

610 Main St
Pt Pleasant, WV 25550
Phone (740) 875-0027

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1417531799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3194 CORE RD",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041556",
            "telephone_number": "304-485-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3194 CORE RD",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041556",
            "telephone_number": "304-485-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "CHRISTINA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61458129",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "109113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOARD OF NURSING",
            "identifier": "109113",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP61458129",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.