Joseph H. Vaughn in Rockford - Mental Health (including Community Mental Health Center)

Joseph H. Vaughn - NPI 1851457121

Joseph H. Vaughn is a Mental Health (including Community Mental Health Center) in Rockford, Illinois. Joseph H. Vaughn practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Joseph H. Vaughn is 1851457121. The last update date is 2008-07-17.

Joseph H. Vaughn's current location address is 4875 Manhattan Drive, Rockford, Illinois. You can contact this provider via phone number 8152274673 and fax number 8152274675. The mailing address for Joseph H. Vaughn is 4875 Manhattan Drive, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Joseph H. Vaughn
Address 4875 Manhattan Drive, Rockford, Illinois
Phone Number 8152274673
Fax Number 8152274675
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Vaughn H. Joseph
Credentials PH.D.
Telephone Number 8152274673

NPI Number Detail

NPI Number 1851457121
Provider Enumeration Date 2006-12-29
Last Updated Date 2008-07-17

Provider Mailing Address Detail

Address 4875 Manhattan Drive
City Rockford
State Illinois (IL)
Post Code 61108
Phone Number 8152274673
Fax Number 8152274675

Provider's Primary Taxonomy Detail

Speciality Mental Health (including Community Mental Health Center)
Taxonomy 261Qm0801X
Definition:
Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10121306 IL BLUE CROSS BLUE SHIELD

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FAQs about Joseph H. Vaughn

What is the unique provider identifier assigned to Joseph H. Vaughn?

The Joseph H. Vaughn has been issued the NPI (National Provider Identifier) 1851457121 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Joseph H. Vaughn's facilities are situated?

The facilities of Joseph H. Vaughn are physically located at the following address: 4875 Manhattan Drive, Rockford, IL, 61108.

What is the Joseph H. Vaughn's area of specialization and corresponding taxonomy classification?

The Joseph H. Vaughn's specialty field is Mental Health (including Community Mental Health Center), and it falls under the taxonomy code 261Qm0801X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1851457121 to Joseph H. Vaughn?

The Joseph H. Vaughn received its 1851457121 assignment from the Centers for Medicare & Medicaid Services on 2006-12-29.

As of what date were the details related to Joseph H. Vaughn most recently updated or revised?

The information pertaining to Joseph H. Vaughn, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-17.

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