Carolyn Kay Vaughan, PSY. D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY24951 Issued in CA

Practice address

425 Sycamore Ave
Mill Valley, CA 94941-2231

Phone

(415) 389-7711

Fax

(415) 389-7780

NPI assigned

Sep 7, 2010

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1861709263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151717",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949151717",
            "telephone_number": "415-457-9754",
            "fax_number": "415-482-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SYCAMORE AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412231",
            "telephone_number": "415-389-7711",
            "fax_number": "415-389-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "CAROLYN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY24951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Turner, LMFT
• Sharyn Urist, PT
• Frank Horace Valone II, MD
• Margaret Van Veen Smith, PHARMD
• Bertrand Andre Vandeville, D.O.
• Christopher Veiga, L.AC
• Michelle F Veneziano, D.O.
• Vanessa Vertin, PH.D., LMFT, M.A.
• Claudia Renate Viazzoli, PSY.D.
• Vibranthealthconsultantsllc

• Psychologist in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.