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 | 104100000X | Social Worker | | | | No |
4 | 106H00000X | Marriage & Family Therapist | | | | No |
5 | 207P00000X | Emergency Medicine | | | | No |
6 | 207Q00000X | Family Medicine | | | | No |
7 | 207QA0401X | Family Medicine | Addiction Medicine | | | No |
8 | 207R00000X | Internal Medicine | | | | No |
9 | 2084P0800X | Psychiatry & Neurology | Psychiatry | | | Yes |
10 | 208M00000X | Hospitalist | | | | No |
11 | 261QU0200X | Clinic/Center | Urgent Care | | | No |
12 | 363A00000X | Physician Assistant | | | | No |
13 | 363L00000X | Nurse Practitioner | | | | No |
14 | 207QH0002X | Family Medicine | Hospice and Palliative Medicine | | | No |