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 | 207RI0200X | Internal Medicine | Infectious Disease | | | No |
| 2 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | 648.01 | RHODE ISLAND | No |
| 3 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | 648.01 | RHODE ISLAND | No |
| 4 | 101Y00000X | Counselor | | | | No |
| 5 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 6 | 101YM0800X | Counselor | Mental Health | | | No |
| 7 | 103TA0400X | Psychologist | Addiction (Substance Use Disorder) | | | No |
| 8 | 103TC1900X | Psychologist | Counseling | | | No |
| 9 | 106H00000X | Marriage & Family Therapist | | | | No |
| 10 | 133NN1002X | Nutritionist | Nutrition, Education | | | No |
| 11 | 163WA0400X | Registered Nurse | Addiction (Substance Use Disorder) | | | No |
| 12 | 163WP2201X | Registered Nurse | Ambulatory Care | | | No |
| 13 | 207RA0401X | Internal Medicine | Addiction Medicine | | | Yes |
