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Active NPI 1427081413 Individual Practitioner Male Practitioner

Dr. Vaughn Robert Jefferson , PsyD

Psychologist • Shoreview, MN

Professional Overview & Biography Verified Profile Summary

Dr. Vaughn Jefferson, PsyD is a registered healthcare professional specializing in Psychologist in Shoreview, MN. Practice services are available at 1030 WEST COUNTY ROAD E under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1030 West County Road E
Ste 260

Shoreview, MN 55126

Telephone 6514831333
Fax 6517893088
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Shoreview, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
10 Specialists

Practicing in Shoreview, MN (1833 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
63 14 $198.00 $82.70

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP1666

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
688750300 (MN)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 16, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 16, 2010

Registered at 1030 WEST COUNTY ROAD E, STE 260, SHOREVIEW, MN 55126 (Tel: 6514831333)

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Updated Business Mailing Address March 16, 2010

Registered at 1030 WEST COUNTY ROAD E, STE 260, SHOREVIEW, MN 55126 (Tel: 6514831333)

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Provider Name / Credentials Updated March 16, 2010

Recorded as VAUGHN JEFFERSON, PSY.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2010

Psychologist (License #LP1666 in MN)

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Initial NPI Registration & Enumeration July 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427081413
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2006
Last Update: March 16, 2010
Sole Proprietor: Yes

Mailing Address

1030 West County Road E, Ste 260

Shoreview, MN 55126

Phone: 6514831333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.