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 | 251B00000X | Case Management | | | | No |
| 2 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 3 | 253Z00000X | In Home Supportive Care | | | | No |
| 4 | 261QM1102X | Clinic/Center | Military Outpatient Operational (Transportable) Component | | | No |
| 5 | 251S00000X | Community/Behavioral Health | | | | No |
| 6 | 251F00000X | Home Infusion | | | | No |
| 7 | 251E00000X | Home Health | | | | No |
| 8 | 261QM2500X | Clinic/Center | Medical Specialty | | | No |
| 9 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 10 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 11 | 261QF0400X | Clinic/Center | Federally Qualified Health Center (FQHC) | | | No |
| 12 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 13 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 14 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 15 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | Yes |
