Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vaughn R Jefferson PSYD Mdiv LP LLC

Organization Clinical Psychologist · NPI 1801036272

Vaughn R Jefferson PSYD Mdiv LP LLC provides Clinical Psychologist services in Shoreview, Minnesota. Licensed in Minnesota. Registered with an NPI since 2009.

Licensed in
MN
In the registry since
2009
What do these letters mean?
LP — Limited partnership
A form of business registration, not a clinical qualification.
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1030 W County Rd E Ste 260
Shoreview, MN 55126 Not confirmed with CMS for 11 years — call before visiting
Phone: (651) 483-1333
Fax: (651) 789-3088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP 1666 (MN)

Record details

NPI number1801036272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vaughn Jefferson — President · (651) 483-1333
NPI enumeratedFebruary 25, 2009
Last updated in NPPESNovember 6, 2014
Mailing address1030 West County Road E, Ste 260, Shoreview, MN 55126

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