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 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
2 | 101YM0800X | Counselor | Mental Health | | | No |
3 | 103K00000X | Behavior Analyst | | | | No |
4 | 103T00000X | Psychologist | | | | No |
5 | 1041C0700X | Social Worker | Clinical | | | No |
6 | 164X00000X | Licensed Vocational Nurse | | | | No |
7 | 171M00000X | Case Manager/Care Coordinator | | | | No |
8 | 2083A0300X | Preventive Medicine | Addiction Medicine | | | No |
9 | 2083P0901X | Preventive Medicine | Public Health & General Preventive Medicine | | | No |
10 | 2084A0401X | Psychiatry & Neurology | Addiction Medicine | | | No |
11 | 2084P0015X | Psychiatry & Neurology | Psychosomatic Medicine | | | No |
12 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
13 | 323P00000X | Psychiatric Residential Treatment Facility | | | | Yes |