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 | | | | No |
| 2 | 104100000X | Social Worker | | | | No |
| 3 | 2084A0401X | Psychiatry & Neurology | Addiction Medicine | | | No |
| 4 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 5 | 363L00000X | Nurse Practitioner | | | | No |
| 6 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | | | No |
| 7 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 8 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 9 | 2084P0800X | Psychiatry & Neurology | Psychiatry | | | No |
| 10 | 2084P0804X | Psychiatry & Neurology | Child & Adolescent Psychiatry | | | No |
| 11 | 253Z00000X | In Home Supportive Care | | | | No |
| 12 | 208D00000X | General Practice | | | | No |
| 13 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 14 | 251S00000X | Community/Behavioral Health | | | | No |
| 15 | 253J00000X | Foster Care Agency | | | | Yes |