DR. VAUGHN A HARDESTY PH.D. NPI 1871658294

NPI Information

NPI: 1871658294
Provider Name: DR. VAUGHN A HARDESTY, PH.D.
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

Address:
32 PLEASANT ST
PORTLAND, ME
ZIP 04101
Phone: (207) 828-5309
Get Directions

DR. Vaughn A Hardesty, PH.D. is a cognitive and behavioral psychologist in Portland, ME. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. DR. Vaughn A Hardesty, PH.D. NPI is 1871658294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

32 PLEASANT ST
PORTLAND, ME
ZIP 04101-912
Phone: (207) 828-5309

The enumeration date for this NPI number is 12/26/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	PS 204	MAINE	Yes
2	103TC0700X	Psychologist	Clinical	PS 204	MAINE	X
3	103TC2200X	Psychologist	Clinical Child & Adolescent	PS 204	MAINE	X
4	103TF0000X	Psychologist	Family	PS 204	MAINE	X
5	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	PS 204	MAINE	X
6	103T00000X	Psychologist		PS 204	MAINE	X
7	103TS0200X	Psychologist	School	PS 204	MAINE	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	003499	OTHER	BLUE CROSS BLUE SHIELD
2	A014080	OTHER	VALUE OPTIONS
3	HA MM8868	MEDICARE ID-TYPE UNSPECIFIED	MEDICARE
4	2068373	OTHER	CIGNA
5	7041539	OTHER	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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