Active NPI
Gregory Vaughan, PH.D.
- Cognitive & Behavioral Psychologist
- Kalamazoo, MI
National Provider Identifier
1902022171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 6301005592
- Practice address
- 151 S Rose St
Suite 601
Kalamazoo, MI 49007-4792 - Phone
- (269) 344-3355
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 6301005592 | MI | Primary |
Addresses
Primary practice location
151 S Rose St
Suite 601
Kalamazoo, MI 49007-4792
Mailing address
151 S Rose St
Suite 601
Kalamazoo, MI 49007-4792
Phone (269) 344-3355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301005592 | MI | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902022171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 S ROSE ST",
"address_2": "SUITE 601",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490074792",
"telephone_number": "269-344-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 S ROSE ST",
"address_2": "SUITE 601",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490074792",
"telephone_number": "269-344-3355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "GREGORY",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MI",
"license": "6301005592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.