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 | 251B00000X | Case Management | | | | No |
| 2 | 103TP2701X | Psychologist | Group Psychotherapy | | | No |
| 3 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | 281220 | ARIZONA | Yes |
| 4 | 251S00000X | Community/Behavioral Health | | | | No |
| 5 | 103TA0400X | Psychologist | Addiction (Substance Use Disorder) | | | No |
| 6 | 101YM0800X | Counselor | Mental Health | | | No |
| 7 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | 10018648 | OREGON | No |
| 8 | 106S00000X | Behavior Technician | | | | No |
| 9 | 103TP0016X | Psychologist | Prescribing (Medical) | | | No |
| 10 | 103TP0814X | Psychologist | Psychoanalysis | | | No |
| 11 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 12 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | 1092621 | TEXAS | No |
| 13 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 14 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
