CMS-1500 Box 24J / 33a • NPI
1538850276
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
3532 W KOLMAR AVE, CHICAGO, IL, 60641
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1538850276 (312 PSYCH SERVICES PLLC) 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 | 1538850276 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | 312 PSYCH SERVICES PLLC |
| 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 | 3532 W KOLMAR AVE, CHICAGO, IL, 60641 |
| Practice Telephone / Fax | Tel: (312) 248-3655 |
| Administrative Mailing Address | 917 W WASHINGTON BLVD UNIT 272, CHICAGO, IL, 60607-2203 |
| Enumeration & Last Sync | Enumerated: 2023-05-15 | CMS Record Updated: 2026-08-04 |
| Authorized Official | ALICIA ALI (Owner) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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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"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (312 PSYCH SERVICES PLLC)
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 |
|---|---|
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) |
Medical Billing, RCM & Hospital Credentialing Teams:
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