Provider Demographics
NPI:1780925529
Name:MARGARET C. VAUGHAN MFT PHD
Entity type:Organization
Organization Name:MARGARET C. VAUGHAN MFT PHD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MFT, PHD
Authorized Official - Phone:917-856-8110
Mailing Address - Street 1:145 W 58TH ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1529
Mailing Address - Country:US
Mailing Address - Phone:917-856-8110
Mailing Address - Fax:
Practice Address - Street 1:145 W 58TH ST STE 2B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1529
Practice Address - Country:US
Practice Address - Phone:917-856-8110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY983106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1780925529OtherNPI