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 is a Clinical Psychologist 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.

See every abbreviation used in this directory →

Practice location Address checks out

1030 W County Rd E Ste 260
Shoreview, MN 55126
Phone: (651) 483-1333
Fax: (651) 789-3088
Show map & directions

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

Other providers in Shoreview