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 | 102L00000X | Psychoanalyst | | | | No |
| 2 | 251J00000X | Nursing Care | | | | No |
| 3 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 4 | 261QI0500X | Clinic/Center | Infusion Therapy | | | No |
| 5 | 363LF0000X | Nurse Practitioner | Family | | | No |
| 6 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | | | No |
| 7 | 261QP0905X | Clinic/Center | Public Health, State or Local | | | No |
| 8 | 261QP2300X | Clinic/Center | Primary Care | | | No |
| 9 | 305S00000X | Point of Service | | | | No |
| 10 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 11 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | Yes |