Code of Maine Rules › 90 - INDEPENDENT AGENCIES › 590 - MAINE HEALTH DATA ORGANIZATION › Chapter 247 - UNIFORM REPORTING SYSTEM FOR NON-CLAIMS-BASED PAYMENTS AND OTHER SUPPLEMENTAL HEALTH CARE DATA SETS › Appendix 590-247-C - Behavioral Health Provider Type Taxonomy Codes and Descriptions

Current through 2024-29, July 17, 2024
Taxonomy Code
Taxonomy
							 Description
Classification
Specialization
101Y00000X
Behavioral Health & Social Service
							 Providers
Counselor
101YA0400X
Behavioral Health & Social Service
							 Providers
Addiction (Substance Use Disorder)
101YM0800X
Behavioral Health & Social Service
							 Providers
Mental Health
101YP1600X
Behavioral Health & Social Service
							 Providers
Pastoral Behavioral Health & Social Service
							 Providers
101YP2500X
Behavioral Health & Social Service
							 Providers
Professional
101YS0200X
Behavioral Health & Social Service
							 Providers
BH & Social Service Providers, School
103K00000X
Behavioral Health & Social Service
							 Providers
Behavior Analyst
103T00000X
Psychologist, Clinical
Assistant Behavior Analyst
103TA0400X
Psychologist, Clinical
Behavior Technician
103TA0700X
Psychologist, Clinical
Behavioral Health & Social Service
							 Providers/Psychologist, Adult Development & Aging
103TB0200X
Psychologist, Clinical
Behavioral Health & Social Service
							 Providers/Psychologist, Cognitive & Behavioral
103TC0700X
Psychologist, Clinical
Behavioral Health & Social Service
							 Providers/Psychologist, Clinical
103TC1900X
Psychologist, Clinical
Behavioral Health & Social Service
							 Providers/Psychologist, Counseling
103TC2200X
Psychologist, Clinical
Behavioral Health & Social Service
							 Providers/Psychologist, Clinical Child & Adolescent
103TF0000X
Psychologist, Clinical
Behavioral Health & Social Service
							 Providers/Psychologist, Family
103TM1800X
Psychologist, Clinical
Behavioral Health & Social Service
							 Providers/Psychologist, Mental Retardation & Developmental
							 Disabilities
103TP0016X
Psychologist, Clinical
Behavioral Health & Social Service
							 Providers/Psychologist, Prescribing (Medical)
103TP0814X
Psychologist, Clinical
Behavioral Health & Social Service
							 Providers/Psychologist, Psychoanalysis
103TP2701X
Psychologist, Clinical
Behavioral Health & Social Service
							 Providers/Psychologist, Group Psychotherapy
103TS0200X
Psychologist, Clinical
Behavioral Health & Social Service
							 Providers/Psychologist, School
104100000X
Behavioral Health & Social Service
							 Providers
Social Worker
1041C0700X
Behavioral Health & Social Service
							 Providers
Behavioral Health & Social Service
							 Providers
1041S0200X
Behavioral Health & Social Service
							 Providers
School
106H00000X
Behavioral Health & Social Service
							 Providers
Marriage and Family Therapist
106S00000X
Behavior Technician
Behavior Technician
133VN1006X
Registered Dietitian or Nutrition Professional
Dietary & Nutritional Service
							 Providers/Dietician, Registered, Nutrition, Metabolic
163WA0400X
Registered Nurse
Addiction (Substance Use Disorder)
163WP0807X
Registered Nurse
Psychiatric/Mental Health, Child &
							 Adolescent
163WP0808X
Registered Nurse
Psychiatric/Mental Health
163WP0809X
Registered Nurse
Psychiatric/Mental Health, Adult
171M00000X
Case Manager/Care Coordinator
Case Manager/Care Coordinator
171W00000X
Contractor
Contractor
175T00000X
Peer Specialist
Peer Specialist
177F00000X
Other Service Providers
Lodging
207QA0401X
Physician/Addiction Medicine
Allopathic & Osteopathic Physicians/Family
							 Medicine, Addiction Medicine
207ZC0008X
Pathology
Clinical Informatics
2080P0006X
Physician/Pediatric Medicine
Allopathic & Osteopathic Physicians/Pediatrics,
							 Developmental- Behavioral Pediatrics
2084A0401X
Physician/Addiction Medicine
Allopathic & Osteopathic Physicians/Psychiatry
							 & Neurology, Addiction Medicine
2084F0202X
Physician/Neuropsychiatry
Allopathic & Osteopathic Physicians/ Psychiatry
							 & Neurology, Forensic Psychiatry
2084P0015X
Physician/Neuropsychiatry
Allopathic & Osteopathic Physicians/ Psychiatry
							 & Neurology, Psychosomatic Medicine
2084P0800X
Physician/Psychiatry
Allopathic & Osteopathic
							 Physicians/Psychiatry
2084P0802X
Physician/Neuropsychiatry
Allopathic & Osteopathic Physicians/ Psychiatry
							 & Neurology, Addiction Psychiatry
2084P0804X
Physician/Neuropsychiatry
Allopathic & Osteopathic Physicians/ Psychiatry
							 & Neurology, Child & Adolescent Psychiatry
2084P0805X
Physician/Neuropsychiatry
Allopathic & Osteopathic Physicians/ Psychiatry
							 & Neurology, Geriatric Psychiatry
222Q00000X
Developmental Therapist
Developmental Therapist
225400000X
Rehabilitation Practitioner
Rehabilitation Practitioner
225500000X
Specialist/Technologist
Respiratory, Developmental, Rehabilitative and
							 Restorative Specialist
225600000X
Dance Therapist
Dance Therapist
225XM0800X
Occupational Therapist in Private Practice
Respiratory, Developmental, Rehabilitative &
							 Restorative Service Providers/Occupational Therapist, Mental Health
235500000X
Specialist/Technologist
Speech, Language and Hearing
							 Specialist/Technologist
2355S0801X
Specialist/Technologist
Speech-Language Assistant
235Z00000X
Speech Language Pathologist
Speech, Language and Hearing Service Providers
251300000X
Local Education Agency (LEA)
Local Education Agency (LEA)
251C00000X
Day Training, Developmentally Disabled
							 Services
Day Training, Developmentally Disabled
							 Services
251J00000X
Nursing Care
Nursing Care
251S00000X
Agencies
Community/Behavioral Health
251V00000X
Voluntary Health or Charitable Agency
Agencies/Voluntary or Charitable
252Y00000X
Early Intervention Provider Agency
Early Intervention Provider Agency
253J00000X
Foster Care Agency
Foster Care Agency
261QD1600X
Clinic/Center
Developmental Disabilities
261QG0250X
Clinic/Center
Genetics
261QM0801X
Community Mental Health Center
Ambulatory Health Care Facilities/Clinic/Center,
							 Mental Health
261QM0850X
Ambulatory Health Care Facilities
Adult Mental Health
261QM0855X
Ambulatory Health Care Facilities
Adolescent And Children Mental Health Care
							 Facilities
261QM2800X
Clinic/Center
Methadone
261QR0405X
Clinic/Center
Rehabilitation, Substance Use Disorder
276400000X
Hospital Units
Rehabilitation, Substance Use Disorder Unit
283Q00000X
Hospital-Psychiatric (PPS excluded)
Hospitals/Psychiatric Hospital
305R00000X
Preferred Provider Organization
Managed Care Organization PPO
3104A0625X
Assisted Living Facility
Assisted Living, Mental Illness
310500000X
Nursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
311Z00000X
Custodial Care Facility
Custodial Care Facility
311ZA0620X
Custodial Care Facility
Adult Care Home
315P00000X
Nursing and Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
320600000X
Residential Treatment Facilities
Residential Treatment Facility, Mental Retardation
							 and/or Developmental Disabilities
320700000X
Residential Treatment Facility, Physical
							 Disabilities
Residential Treatment Facility, Physical
							 Disabilities
320800000X
Residential Treatment Facilities
Community Based Mental Illness
320900000X
Residential Treatment Facilities
Community Based Residential Treatment Facility,
							 Mental Retardation and/or Developmental Disabilities
322D00000X
Residential Treatment Facilities
Residential Treatment Facility, Emotionally Disturbed
							 Children
323P00000X
Residential Treatment Facilities
Psychiatric Residential Treatment Facility
324500000X
Residential Treatment Facilities
Substance Abuse Rehabilitation Facility
3245S0500X
Residential Treatment Facilities
Substance Abuse Treatment, Children
343800000X
Secured Medical Transport (VAN)
Secured Medical Transport (VAN)
363LP0808X
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing
							 Providers/Nurse Practitioner, Psychiatric/Mental Health
364S00000X
Certified Clinical Nurse Specialist
Physician Assistants & Advanced Practice Nursing
							 Providers/Clinical Nurse Specialist
364SP0807X
Certified Clinical Nurse Specialist
Physician Assistants & Advanced Practice Nursing
							 Providers/Clinical Nurse Specialist, Psychiatric/Mental Health, Child &
							 Adolescent
364SP0808X
Certified Clinical Nurse Specialist
Physician Assistants & Advanced Practice Nursing
							 Providers/Clinical Nurse Specialist, Psychiatric/Mental Health
364SP0809X
Certified Clinical Nurse Specialist
Physician Assistants & Advanced Practice Nursing
							 Providers/Clinical Nurse Specialist, Psychiatric/Mental Health, Adult
364SP0810X
Certified Clinical Nurse Specialist
Physician Assistants & Advanced Practice Nursing
							 Providers/Clinical Nurse Specialist, Psychiatric/Mental Health, Child &
							 Family
372600000X
Adult Companion
Adult Companion
373H00000X
Nursing Service-Related Providers
Day Training/Habilitation Specialist
3747A0650X
Technician
Attendant Care Provider
374U00000X
Home Health Aide
Home Health Aide
376J00000X
Homemaker
Homemaker
385H00000X
Respite Care
Respite Care
405300000X
Prevention Professional
Prevention Professional