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 | 103TM1800X | Psychologist | Intellectual and Developmental Disabilities | | | No |
| 2 | 251E00000X | Home Health | | | | No |
| 3 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |
| 4 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 5 | 251S00000X | Community/Behavioral Health | | | | No |
| 6 | 253Z00000X | In Home Supportive Care | | | | No |
| 7 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 8 | 320700000X | Residential Treatment Facility, Physical Disabilities | | | | No |
| 9 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | | | No |
| 10 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |