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Deactivated NPI 1205858032 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas J Vaughn , PhD

Psychologist • Shawnee, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Vaughn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 24, 2006
NPI Deactivation Date May 31, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Vaughn, PhD was a registered Psychologist practicing in Shawnee, OK. Throughout an active medical career spanning 16 years, Dr. Vaughn provided care at the practice location at 1102 W MACARTHUR ST until profile deactivation on 2022-05-31.

Historical Medicare Part B clinical services included psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1102 W Macarthur St

Shawnee, OK 748041743

Telephone 4058783432
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Shawnee, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Shawnee, OK (284 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
22.3% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
152 16 $190.00 $147.63

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OK 286

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
NPI 1033239579

Doctor of Medicine (M.D.)

NPI 1114925781

Doctor of Medicine (M.D.)

Wade Bittle , PA-C

Physician Assistant

NPI 1154508976

Physician Assistant (Certified)

NPI 1174740237
Patricia Peak

Speech-Language Pathologist

NPI 1205093986
Allison Childers , RN

Nurse Practitioner - Family

NPI 1245673573

Registered Nurse

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 31, 2022

Record deactivated on May 31, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1102 W MACARTHUR ST, SHAWNEE, OK 748041743 (Tel: 4058783432)

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Updated Business Mailing Address July 08, 2007

Registered at 1102 W MACARTHUR ST, SHAWNEE, OK 748041743 (Tel: 4058783432)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS VAUGHN, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #286 in OK)

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Initial NPI Registration & Enumeration July 24, 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: 1205858032
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2006
Last Update: July 08, 2007
Deactivation Date: May 31, 2022

Mailing Address

1102 W Macarthur St

Shawnee, OK 748041743

Phone: 4058783432

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.