National Provider Identifier Database

VAUGHN R JEFFERSON JR, PSY.D. – NPI #1427081413
Psychologist

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.


Contact Information

VAUGHN R JEFFERSON JR, PSY.D.
1030 WEST COUNTY ROAD E
STE 260
SHOREVIEW, MN55126
Phone: 651-483-1333
Fax: 651-789-3088
Website:
Specialty Taxonomy Code
* Psychologist 103T00000X

* Indicates primary specialty

NPI Profile & details for VAUGHN R JEFFERSON JR

NPI Number 1427081413
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 07/10/2006
Last updated 03/16/2010 - About 16 years ago
Sole proprietor1 Yes
Identifiers
  • MN License #: LP1666
  • MN Medicaid: 688750300
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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