NPIMap

Organization Active NPI

Douglas B Vaughan PHD PC

  • Clinical Psychologist
  • Lee's Summit, MO
National Provider Identifier
1881894145
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PYR0374 Issued in MO
Legal business name
DOUGLAS B VAUGHAN PHD PC
Practice address
600 SW Jefferson St
Suite 206
Lees Summit, MO 64063-3988
Phone
(816) 554-7705
Fax
(816) 554-7706
NPI assigned
Jul 24, 2007
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Dr. Douglas B. Vaughan, PH.D.
Title
President
Phone
(816) 289-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PYR0374 MO Primary

Addresses

Primary practice location

600 SW Jefferson St
Suite 206
Lees Summit, MO 64063-3988

Mailing address

1524 NE Deer CT
Lees Summit, MO 64086-5966
Phone (816) 289-1777

National Provider Directory

National Provider Directory

Locations

19401 E US Highway 40
Ste 150
Independence, MO 64055
Phone (816) 795-9292

600 SW Jefferson St
Ste 206
Lees Summit, MO 64063
Phone (816) 554-7705

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1881894145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 NE DEER CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865966",
            "telephone_number": "816-289-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SW JEFFERSON ST",
            "address_2": "SUITE 206",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640633988",
            "telephone_number": "816-554-7705",
            "fax_number": "816-554-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS B VAUGHAN PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-289-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PYR0374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.