Dylan Vaughn, PHD
NPI 1023875960ActiveIndividual· Clinical Neuropsychologist· Los Angeles, CA
Clinical Neuropsychologist (PHD) with Executive Mental Health, Inc, practicing in Los Angeles, California. Medicare paid $159,652 for services to 332 patients in 2024.
Overview
| NPI | 1023875960 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Mar 5, 2024 |
| Last updated in NPPES | Apr 29, 2024 |
| Certified by provider | Apr 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | 34877 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 332 |
|---|---|
| Services billed | 2,805 across 8 procedure codes |
| Paid by Medicare | $159,652 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Executive Mental Health, IncLos Angeles, CA · 47 clinicians
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