Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Vaughn R Jefferson Psyd Mdiv Lp LLC

Clinical Psychologist in Shoreview, MN · enumerated 2009 · authorized official Vaughn Jefferson, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801036272

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Registry record

Entity type Organization (Type 2)

Legal business name Vaughn R Jefferson Psyd Mdiv Lp LLC

Practice address 1030 West County Road E, Ste 260, Shoreview, MN, 55126

Phone (651) 483-1333

Fax (651) 789-3088

Enumeration date Feb 25, 2009

Last updated in NPPES Nov 6, 2014

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License LP 1666 (MN) Primary

Authorized official

Name Vaughn Jefferson

Title President

Phone (651) 483-1333

Other identifiers

Identifier	Type	State	Issuer
688750300	Medicaid	MN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Vaughn R Jefferson Psyd Mdiv Lp LLC located?

The practice location on file with NPPES is in Shoreview, MN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-11-06. Verify at npiregistry.cms.hhs.gov.

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Vaughn Jefferson Psychologist · Shoreview, MN NPI 1427081413

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-11-06.