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 | 163W00000X | Registered Nurse | | | | Yes |
| 2 | 251E00000X | Home Health | | | | No |
| 3 | 253Z00000X | In Home Supportive Care | | | | No |
| 4 | 261QC1800X | Clinic/Center | Corporate Health | | | No |
| 5 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 6 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 7 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 8 | 261QM2800X | Clinic/Center | Methadone | | | No |
| 9 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 10 | 323P00000X | Psychiatric Residential Treatment Facility | | | | No |