Jennifer Anne Vaughan, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

32450 Issued in CA

Practice address

13191 Kellam CT Apt 96
San Diego, CA 92130-1279

Phone

(415) 518-1888

NPI assigned

Mar 12, 2021

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19641/brand/1/csg/1/fhir/r4

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.

• Adr Wellness a Professional Psychology Corporation

  • Psychiatry Physician
  • Carlsbad, CA
  • NPI 1073028742

  Psychologist

  NPD
• Pure Autism Counseling Center Inc

  • Community/Behavioral Health Agency
  • Santa Clarita, CA
  • NPI 1649737735
  NPD

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1457936288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13191 KELLAM CT APT 96",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301279",
            "telephone_number": "415-518-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13191 KELLAM CT APT 96",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301279",
            "telephone_number": "415-518-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "32450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Vassiliou
• Prashant Vaswani, MD
• Yvonne Eleanor Vaucher, M.D.
• Diana Vaughan-Jones, RN, PHN
• Freda Kay Vaughan, PHD
• Gina Nichelle Vaughn-Mays
• Andrew Francis Vaughn, M.D., M.P.H.
• Douglas Vaughn, MD
• Gabrielle Vaughn, M.D.
• Mackenzie Vaughn

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.