CMS-1500 Box 24J / 33a • NPI
1437862562
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
103K00000X
Licensed & Credentialed Behavior Analyst
Box 32 Service Location & ZIP+4
706 E GUDE DR UNIT A, ROCKVILLE, MD, 20850-8317
✓ 9-Digit EDI 837 ZIP+4 (20850-8317)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1437862562 (ACTION MENTAL HEALTH) 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 | 1437862562 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ACTION MENTAL HEALTH |
| Plain-English Specialty | Licensed & Credentialed Behavior Analyst NUCC Code: 103K00000X (Behavior Analyst) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 706 E GUDE DR UNIT A, ROCKVILLE, MD, 20850-8317 |
| Practice Telephone / Fax | Tel: (240) 480-2817 |
| Administrative Mailing Address | 10 SNUG HILL CT, POTOMAC, MD, 20854-4053 |
| Enumeration & Last Sync | Enumerated: 2023-01-04 | CMS Record Updated: 2026-02-05 |
| Authorized Official | HABTAMU TIGABU (Chief Executive Officer) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (103K00000X)
What Does Taxonomy Code 103K00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103K00000X translates to:
"Licensed & Credentialed Behavior Analyst"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ACTION MENTAL HEALTH)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
364SP0807X — Clinical Nurse Specialist, Psych/Mental Health, Child & AdolescentPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Child & Adolescent | State: N/A | License: Verified | Primary: Secondary |
106E00000X — Assistant Behavior AnalystPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Assistant Behavior Analyst | State: N/A | License: Verified | Primary: Secondary |
101YM0800X — Counselor, Mental HealthPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: N/A | License: Verified | Primary: Secondary |
2080P0008X — Pediatrics, Neurodevelopmental DisabilitiesPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: N/A | License: Verified | Primary: Secondary |
2080P0006X — Pediatrics, Developmental - Behavioral PediatricsPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: N/A | License: Verified | Primary: Secondary |
2084P0005X — Psychiatry & Neurology, Neurodevelopmental DisabilitiesPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: N/A | License: Verified | Primary: Secondary |
364SP0808X — Clinical Nurse Specialist, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health | State: N/A | License: Verified | Primary: Secondary |
103TB0200X — Psychologist, Cognitive & BehavioralPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral | State: N/A | License: Verified | Primary: Secondary |
364SP0809X — Clinical Nurse Specialist, Psych/Mental Health, AdultPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Adult | State: N/A | License: Verified | Primary: Secondary |
106S00000X — Behavior TechnicianPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Technician | State: N/A | License: Verified | Primary: Secondary |
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | 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: Secondary |
2084B0040X — Psychiatry & Neurology, Behavioral Neurology & NeuropsychiatryPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: N/A | License: Verified | Primary: Secondary |
103TM1800X — Psychologist, Intellectual & Developmental DisabilitiesPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Intellectual & Developmental Disabilities | State: N/A | License: Verified | Primary: Secondary |
103K00000X — Behavior AnalystPlain English: Licensed & Credentialed Behavior Analyst | State: N/A | License: Verified | Primary: Yes (Primary) |
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