21 VETS INCORPORATED — NPI 1063022317 (Licensed & Credentialed Psychologist, Cognitive & Behavioral in MELBOURNE, FL)

Plain-English Taxonomy Translation (103TB0200X)

What Does Taxonomy Code 103TB0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TB0200X translates in plain language to:
"Licensed & Credentialed Psychologist, Cognitive & Behavioral"

Primary Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
When Patients Should Consult: Consult a verified Psychologist, Cognitive & Behavioral for specialized diagnostic evaluation, treatment planning, and continuity of care.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with 21 VETS INCORPORATED:

High-Volume Clinical Procedures & Diagnostics:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic & Prescribing Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	1063022317 (NPI-2 Organization / Facility)
Provider / Legal Name	21 VETS INCORPORATED
Plain-English Specialty	Licensed & Credentialed Psychologist, Cognitive & Behavioral NUCC Code: `103TB0200X` (Psychologist, Cognitive & Behavioral)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4908 FAUNA DR, MELBOURNE, FL, 329347847
Practice Telephone / Fax	Tel: 703-309-7417
Administrative Mailing Address	4908 FAUNA DR, MELBOURNE, FL, 329347847
Enumeration & Last Sync	Enumerated: 2020-08-03 \| Updated: 2020-08-03
Authorized Official	DANIEL PIPPIN (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4908 FAUNA DR, MELBOURNE, FL, 329347847

🗺️ Open in Google Maps & Parking ⚙️ View Enriched JSON API

ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YM0800X` — Counselor, Mental Health Plain English: Licensed & Credentialed Counselor, Mental Health	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Social Worker, Clinical	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`163WP0809X` — Registered Nurse, Psych/Mental Health, Adult Plain English: Licensed & Credentialed Registered Nurse, Psych/Mental Health, Adult	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`103TB0200X` — Psychologist, Cognitive & Behavioral Plain English: Licensed & Credentialed Psychologist, Cognitive & Behavioral	State: N/A \| License: Verified \| Primary Taxonomy: Yes

21 VETS INCORPORATED (NPI #1063022317)