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 | | | No |
2 | 103T00000X | Psychologist | | | | No |
3 | 103TP2701X | Psychologist | Group Psychotherapy | | | No |
4 | 104100000X | Social Worker | | | | No |
5 | 106H00000X | Marriage & Family Therapist | | | | No |
6 | 133N00000X | Nutritionist | | | | No |
7 | 133V00000X | Dietitian, Registered | | | | No |
8 | 171400000X | Health and Wellness Coach | | | | No |
9 | 202D00000X | Integrative Medicine | | | | No |
10 | 2084P0800X | Psychiatry & Neurology | Psychiatry | | | No |
11 | 2084P0804X | Psychiatry & Neurology | Child & Adolescent Psychiatry | | | No |
12 | 2084P0805X | Psychiatry & Neurology | Geriatric Psychiatry | | | No |
13 | 2084S0012X | Psychiatry & Neurology | Sleep Medicine | | | No |
14 | 261QM1300X | Clinic/Center | Multi-Specialty | | | Yes |
15 | 363LA2200X | Nurse Practitioner | Adult Health | | | No |