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 | 103T00000X | Psychologist | | PSY 7442 | CALIFORNIA | No |
| 2 | 103TA0400X | Psychologist | Addiction (Substance Use Disorder) | PSY 7442 | CALIFORNIA | No |
| 3 | 103TA0700X | Psychologist | Adult Development & Aging | PSY 7442 | CALIFORNIA | No |
| 4 | 103TB0200X | Psychologist | Cognitive & Behavioral | PSY 7442 | CALIFORNIA | No |
| 5 | 103TC0700X | Psychologist | Clinical | PSY 7442 | CALIFORNIA | No |
| 6 | 103TC2200X | Psychologist | Clinical Child & Adolescent | PSY 7442 | CALIFORNIA | No |
| 7 | 103TF0000X | Psychologist | Family | PSY7442 | CALIFORNIA | No |
| 8 | 103TH0100X | Psychologist | Health Service | PSY 7442 | CALIFORNIA | No |
| 9 | 103T00000X | Psychologist | | PSY7442 | CALIFORNIA | No |
| 10 | 103TP2701X | Psychologist | Group Psychotherapy | PSY 7442 | CALIFORNIA | Yes |