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 | 261Q00000X | Clinic/Center | | | | No |
| 2 | 251V00000X | Voluntary or Charitable | | | | No |
| 3 | 102L00000X | Psychoanalyst | | | | No |
| 4 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 5 | 333600000X | Pharmacy | | | | No |
| 6 | 251E00000X | Home Health | | | | No |
| 7 | 251K00000X | Public Health or Welfare | | | | No |
| 8 | 225X00000X | Occupational Therapist | | | | No |
| 9 | 251S00000X | Community/Behavioral Health | | | | No |
| 10 | 261QC1800X | Clinic/Center | Corporate Health | | | No |
| 11 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 12 | 261QE0002X | Clinic/Center | Emergency Care | | | No |
| 13 | 251B00000X | Case Management | | | | No |
| 14 | 103G00000X | Clinical Neuropsychologist | | | | No |
| 15 | 103K00000X | Behavior Analyst | | | | Yes |