AMANDA VAUGHAN (NPI# 1194074260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194074260 |
| Entity Type | Individual |
| Full Name | AMANDA VAUGHAN |
| Credential | LMHC |
| Practice Address |
3 Dundee Park Dr Ste 203 Andover MA 01810 |
| Mailing Address |
30 Franklin St Unit 106 Malden MA 02148-6508 |
| Practice Telephone | 9784753590 |
| Mailing Telephone | 6032616045 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
8975 | MA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 60 Granite St, Lynn, MA 019042915 | 7814776984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982258158 | Amanda Vaughan | Speech-Language Pathologist | 1292 Reddar Lane 351, Scranton, AR 72863 | 2019-07-26 |
| 1861029092 | Amanda Vaughan | Student in an Organized Health Care Education/Training Program | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-03-26 |
| 1174168249 | Amanda Vaughan | Behavior Technician | 102 S Tejon St Ste 1100, Colorado Springs, CO 80903-2253 | 2019-11-13 |
| 1568732592 | Amanda Vaughan | Student in an Organized Health Care Education/Training Program | 75 Park Ave, Port Chester, NY 10573-2441 | 2012-01-06 |
| 1982911574 | Amanda Vaughan | Counselor | 50 Long Pond Dr, South Yarmouth, MA 02664-4180 | 2010-09-03 |
| 1942332408 | Amanda Burton Vaughan | Obstetrics & Gynecology | 10710 Midlothian Tpke, Suite 200, Richmond, VA 23235-4722 | 2007-03-11 |
| 1760554158 | Amanda Vaughan | Social Worker | 315 E Washington St, Greensboro, NC 27401-2911 | 2006-11-14 |
| 1154415529 | Amanda Vaughan | Physical Therapy Assistant | 540 Kingsley Ave, Orange Park, FL 32073-4847 | 2006-10-03 |
| Street Address |
3 DUNDEE PARK DR STE 203 |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609096932 | Janel Marie Weiner | Social Worker | 3 Dundee Park Dr Ste 203, Andover, MA 01810 | 2007-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
| 1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
| 1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
| 1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
| 1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
| 1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
| Find all providers in zip 01810 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928549 | Kristin Whitehouse | Counselor | 5 Woodfield Rd, Andover, NJ 07821-2002 | 2020-09-28 |
| 1932731635 | David C Miller | Counselor | 26 Chestnut St Ste 2a, Andover, MA 01810-3600 | 2020-02-10 |
| 1497238372 | Peter Bunnell | Counselor | 350 Lowell St, Andover, MA 01810-4400 | 2018-09-07 |
| 1366944597 | Conscious Healing Counseling Inc | Counselor | 2705 Bunker Lake Blvd Nw Ste 112, Andover, MN 55304-3785 | 2018-03-04 |
| 1124520630 | Connection Counseling Inc. | Counselor | 93 Main St Ste 131, Andover, MA 01810-3847 | 2018-03-01 |
| 1306354329 | Jennifer Lynn Larkey I | Counselor | 1875 Station Parkway N.w. Andover, Mn 55304, Andover, MN 55304 | 2018-01-11 |
| 1912427931 | Brooke Nicole Halliday | Counselor | 1875 Station Pkwy Ne, Andover, MN 55304 | 2017-06-21 |
| 1295024123 | Elizabeth M. Green | Counselor | 140 Maple St, Box 404, Andover, NH 03216-3910 | 2011-03-31 |
| 1467758821 | Glenn Phillip Petruzzi | Counselor | 12 Essex Street, Andover, MA 01810 | 2011-02-02 |
| 1558677955 | Barbara Ann Nyhammer | Counselor | 791 139th Ln Nw, Andover, MN 55304-4002 | 2010-08-23 |
| Find all providers in ANDOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.