Individual provider Active NPI

Michelle Vaughan, PHD

  • Psychologist
  • Dayton, OH
National Provider Identifier
1891240800
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7226 Issued in OH
Practice address
9 N Edwin C Moses
Dayton, OH 45435-8470
Phone
(937) 254-9210
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7226 OH Primary

Addresses

Primary practice location

9 N Edwin C Moses
Dayton, OH 45435-8470

Mailing address

PO Box 341648
Dayton, OH 45434-1648
Phone (937) 254-9210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240509003068 OH Practitioner - Clinical Psychologist 9335580273 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7226OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearthstone Psychology LLC Psychologist CurrentSince Apr 11, 2024 Accepting new patients
University Psychological Services Association Past Accepting new patients

Locations

3085 Woodman Dr
Ste 240
Kettering, OH 45420
Phone (937) 266-5006

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1891240800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341648",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454341648",
            "telephone_number": "937-254-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N EDWIN C MOSES",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454358470",
            "telephone_number": "937-254-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "7226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.