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 | 103TB0200X | Psychologist | Cognitive & Behavioral | 021738-1 | NEW YORK | No |
| 2 | 103TC0700X | Psychologist | Clinical | 021738-1 | NEW YORK | No |
| 3 | 103TC1900X | Psychologist | Counseling | 021738-1 | NEW YORK | No |
| 4 | 103TC2200X | Psychologist | Clinical Child & Adolescent | 021738-1 | NEW YORK | No |
| 5 | 103TF0000X | Psychologist | Family | 021738-1 | NEW YORK | No |
| 6 | 103TM1800X | Psychologist | Intellectual and Developmental Disabilities | 021738-1 | NEW YORK | No |
| 7 | 103TP0814X | Psychologist | Psychoanalysis | 021738-1 | NEW YORK | No |
| 8 | 103G00000X | Clinical Neuropsychologist | | 021738-1 | NEW YORK | Yes |
