Kirkland C Vaughans

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

010404-1 Issued in NY

Practice address

1840 Union Blvd
Bay Shore, NY 11706-7932

Phone

(631) 647-7885

Fax

(631) 647-7885

NPI assigned

Dec 12, 2008

Sex

Male

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

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1639314008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LINCOLN AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117984202",
            "telephone_number": "631-643-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 UNION BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067932",
            "telephone_number": "631-647-7885",
            "fax_number": "631-647-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHANS",
        "first_name": "KIRKLAND",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010404-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathalie Vargas
• Samantha Vasquez, LPN
• Yolanda Vasquez
• Laura Vassallo
• David Vaughans, DO
• Jessica Margaret Vecchio
• Gary Edwin Veith, M.D.
• Suzanne L Velazquez, PH.D., L.C.S.W.
• Valeria Velez
• Brittney Veltri

• Clinical Psychologist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.