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 | 251300000X | Local Education Agency (LEA) | | | | No |
| 2 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 3 | 251S00000X | Community/Behavioral Health | | | | No |
| 4 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 5 | 305S00000X | Point of Service | | | | No |
| 6 | 103TC2200X | Psychologist | Clinical Child & Adolescent | | | Yes |