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
|
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 |
