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 | 101YM0800X | Counselor | Mental Health | 59977 | NEW MEXICO | No |
2 | 163WC0400X | Registered Nurse | Case Management | 59977 | NEW MEXICO | No |
3 | 2084P0800X | Psychiatry & Neurology | Psychiatry | 59977 | NEW MEXICO | No |
4 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | 59977 | NEW MEXICO | Yes |
5 | 364SI0800X | Clinical Nurse Specialist | Informatics | 59977 | NEW MEXICO | No |
6 | 364SP0807X | Clinical Nurse Specialist | Psychiatric/Mental Health, Child & Adolescent | 59977 | NEW MEXICO | No |
7 | 364SP0808X | Clinical Nurse Specialist | Psychiatric/Mental Health | 59977 | NEW MEXICO | No |
8 | 364SP0810X | Clinical Nurse Specialist | Psychiatric/Mental Health, Child & Family | 59977 | NEW MEXICO | No |