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 | 101YP1600X | Counselor | Pastoral | PSY 10881 | CALIFORNIA | No |
| 2 | 103K00000X | Behavior Analyst | | PSY 10881 | CALIFORNIA | No |
| 3 | 103T00000X | Psychologist | | PSY 10881 | CALIFORNIA | No |
| 4 | 103TA0400X | Psychologist | Addiction (Substance Use Disorder) | PSY 10881 | CALIFORNIA | No |
| 5 | 103TA0700X | Psychologist | Adult Development & Aging | PSY 10881 | CALIFORNIA | No |
| 6 | 103TB0200X | Psychologist | Cognitive & Behavioral | PSY 10881 | CALIFORNIA | No |
| 7 | 103TC2200X | Psychologist | Clinical Child & Adolescent | PSY 10881 | CALIFORNIA | No |
| 8 | 103TE1100X | Psychologist | Exercise & Sports | PSY 10881 | CALIFORNIA | No |
| 9 | 103TF0000X | Psychologist | Family | PSY 10881 | CALIFORNIA | No |
| 10 | 103TF0200X | Psychologist | Forensic | PSY 10881 | CALIFORNIA | No |
| 11 | 103TM1800X | Psychologist | Intellectual and Developmental Disabilities | PSY 10881 | CALIFORNIA | No |
| 12 | 103TP0814X | Psychologist | Psychoanalysis | PSY 10881 | CALIFORNIA | No |
| 13 | 103TP2701X | Psychologist | Group Psychotherapy | PSY 10881 | CALIFORNIA | No |
| 14 | 106H00000X | Marriage & Family Therapist | | ML19429 | CALIFORNIA | No |
| 15 | 103TC0700X | Psychologist | Clinical | PSY 10881 | CALIFORNIA | Yes |