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 | 207QA0401X | Family Medicine | Addiction Medicine | ACF01632-01 | RHODE ISLAND | No |
| 2 | 251K00000X | Public Health or Welfare | | 605.1 | RHODE ISLAND | No |
| 3 | 261QM2800X | Clinic/Center | Methadone | 605.01 | RHODE ISLAND | Yes |
| 4 | 261QP2300X | Clinic/Center | Primary Care | ACF01632-01 | RHODE ISLAND | No |
| 5 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | 605.1 | RHODE ISLAND | No |
| 6 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | 605.01 | RHODE ISLAND | No |
| 7 | 276400000X | Rehabilitation, Substance Use Disorder Unit | | 605.1 | RHODE ISLAND | No |
| 8 | 175T00000X | Peer Specialist | | | | No |
