CMS-1500 Box 24J / 33a • NPI
1023107372
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QM0855X
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
8802 N 61ST AVE, GLENDALE, AZ, 85302-4521
✓ 9-Digit EDI 837 ZIP+4 (85302-4521)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1023107372 (A NEW LEAF, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1023107372 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | A NEW LEAF, INC. |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QM0855X (Clinic/Center, Adolescent and Children Mental Health) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 8802 N 61ST AVE, GLENDALE, AZ, 85302-4521 |
| Practice Telephone / Fax | Tel: (623) 934-1991 | Fax: (480) 733-3031 |
| Administrative Mailing Address | 868 E UNIVERSITY DR, MESA, AZ, 85203-8033 |
| Enumeration & Last Sync | Enumerated: 2006-10-12 | CMS Record Updated: 2013-07-20 |
| Authorized Official | MICHAEL HUGHES (CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QM0855X)
What Does Taxonomy Code 261QM0855X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM0855X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (A NEW LEAF, INC.)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
251V00000X — Voluntary or CharitablePlain English: Licensed & Credentialed Agencies — Voluntary or Charitable | State: AZ | License: BH2535 | Primary: Secondary |
261QM0855X — Clinic/Center, Adolescent and Children Mental HealthPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: AZ | License: BH2535 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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