Mary Vaughan, CADC I

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

101YA04000X Issued in CA

Practice address

2445 W Whites Bridge Ave
Fresno, CA 93706-1225

Phone

(559) 264-2551

NPI assigned

Jul 22, 2016

Last updated

Jan 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Addiction Programs Inc

  • Substance Abuse Rehabilitation Facility
  • Fresno, CA
  • NPI 1720221443
  NPD (past)
• Comprehensive Addictions Program

  dba cap

  • Substance Abuse Rehabilitation Facility
  • Fresno, CA
  • NPI 1700166329
  NPD (past)

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1790138998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 E ROBERTS AVE APT 204",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106541",
            "telephone_number": "559-274-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 W WHITES BRIDGE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937061225",
            "telephone_number": "559-264-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "MARY",
        "credential": "CADC I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "101YA04000X",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Lee Vassar, CATC-II, CADC-I
• Syrinady Vassar, SUDRC II 25365
• Priya Meena Vasudeva, DO
• Vannarin Vath
• Anne Marie Vaughan, RD
• Taylor Vaughn, PT, DPT
• Brynn Michelle Vawter, LCSW 119189
• Magdalen Marie Vawter
• Sayra Marlen Vazquez Pacheco
• Jaira Yazmin Vazquez-Cruz

• Substance Abuse Rehabilitation Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.