ACTION MENTAL HEALTH INC — NPI 1033995287 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in ROCKVILLE, MD)

CMS-1500 Box 24J / 33a • NPI

1033995287

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM0801X (CMS B4[14])

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

706 E GUDE DR UNIT A ROOM 2, ROCKVILLE, MD, 20850-8317

✓ 9-Digit EDI 837 ZIP+4 (20850-8317)

Practice Phone & Referral Fax

(240) 490-0176

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1033995287 (ACTION MENTAL HEALTH 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1033995287` (NPI-2 Organization / Facility)
Provider / Legal Name	ACTION MENTAL HEALTH INC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM0801X` (Clinic/Center, Mental Health (Including Community Mental Health Center))
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	706 E GUDE DR UNIT A ROOM 2, ROCKVILLE, MD, 20850-8317
Practice Telephone / Fax	Tel: (240) 490-0176
Administrative Mailing Address	10 SNUG HILL CT, POTOMAC, MD, 20854-4053
Enumeration & Last Sync	Enumerated: 2023-09-05 \| CMS Record Updated: 2025-05-15
Authorized Official	HABTAMU TIGABU (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

706 E GUDE DR UNIT A ROOM 2, ROCKVILLE, MD, 20850-8317

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Plain-English Taxonomy & CMS Crosswalk (261QM0801X)

What Does Taxonomy Code 261QM0801X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM0801X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (Community Mental Health Center)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ACTION MENTAL HEALTH INC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TB0200X` — Psychologist, Cognitive & Behavioral Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral	State: N/A \| License: `Verified` \| Primary: Secondary
`103TM1800X` — Psychologist, Intellectual & Developmental Disabilities Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Intellectual & Developmental Disabilities	State: N/A \| License: `Verified` \| Primary: Secondary
`251B00000X` — Case Management Plain English: Licensed & Credentialed Case Management	State: N/A \| License: `Verified` \| Primary: Secondary
`261QD1600X` — Clinic/Center, Developmental Disabilities Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM0855X` — Clinic/Center, Adolescent and Children Mental Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QR0401X` — Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QR0405X` — Clinic/Center, Rehabilitation, Substance Use Disorder Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`3104A0625X` — Assisted Living Facility, Assisted Living, Mental Illness Plain English: Licensed & Credentialed Assisted Living Facility, Assisted Living, Mental Illness	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM0850X` — Clinic/Center, Adult Mental Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`3104A0630X` — Assisted Living Facility, Assisted Living, Behavioral Disturbances Plain English: Licensed & Credentialed Assisted Living Facility, Assisted Living, Behavioral Disturbances	State: N/A \| License: `Verified` \| Primary: Secondary
`3140N1450X` — Skilled Nursing Facility, Nursing Care, Pediatric Plain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)	State: N/A \| License: `Verified` \| Primary: Secondary
`320600000X` — Residential Treatment Facility, Intellectual and/or Developmental Disabilities Plain English: Licensed & Credentialed Residential Treatment Facility, Intellectual and/or Developmental Disabilities	State: N/A \| License: `Verified` \| Primary: Secondary
`323P00000X` — Psychiatric Residential Treatment Facility Plain English: Licensed & Credentialed Psychiatric Residential Treatment Facility	State: N/A \| License: `Verified` \| Primary: Secondary
`324500000X` — Substance Abuse Rehabilitation Facility Plain English: Licensed & Credentialed Substance Abuse Rehabilitation Facility	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM0801X` — Clinic/Center, Mental Health (Including Community Mental Health Center) Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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ACTION MENTAL HEALTH INC (NPI #1033995287)