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 | 2084P0805X | Psychiatry & Neurology | Geriatric Psychiatry | | | No |
| 3 | 101YM0800X | Counselor | Mental Health | | | No |
| 4 | 374J00000X | Doula | | | | No |
| 5 | 101Y00000X | Counselor | | | | No |
| 6 | 172V00000X | Community Health Worker | | | | No |
| 7 | 2084P0800X | Psychiatry & Neurology | Psychiatry | | | No |
| 8 | 2084A0401X | Psychiatry & Neurology | Addiction Medicine | | | No |
| 9 | 323P00000X | Psychiatric Residential Treatment Facility | | | | No |
| 10 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 11 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 12 | 2083A0300X | Preventive Medicine | Addiction Medicine | | | No |
| 13 | 2083C0008X | Preventive Medicine | Clinical Informatics | | | No |
| 14 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | | | No |
| 15 | 2084P0802X | Psychiatry & Neurology | Addiction Psychiatry | | | Yes |