CMS-1500 Box 24J / 33a • NPI
1740071646
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QM0850X
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
127 S 1ST ST STE 205, GENEVA, IL, 60134-2644
✓ 9-Digit EDI 837 ZIP+4 (60134-2644)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1740071646 (AFFECT THERAPEUTICS, 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 | 1740071646 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AFFECT THERAPEUTICS, INC. |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QM0850X (Clinic/Center, Adult Mental Health) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 127 S 1ST ST STE 205, GENEVA, IL, 60134-2644 |
| Practice Telephone / Fax | Tel: (845) 769-8758 |
| Administrative Mailing Address | PO BOX 96634, PHOENIX, AZ, 85072-6634 |
| Enumeration & Last Sync | Enumerated: 2025-05-13 | CMS Record Updated: 2026-08-14 |
| Authorized Official | KARLA MULLINGS (Director of Compliance) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QM0850X)
What Does Taxonomy Code 261QM0850X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM0850X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AFFECT THERAPEUTICS, 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 |
|---|---|
101YM0800X — Counselor, Mental HealthPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: N/A | License: Verified | Primary: Secondary |
1041C0700X — Social Worker, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical | State: N/A | License: Verified | Primary: Secondary |
251S00000X — Community/Behavioral HealthPlain English: Licensed & Credentialed Community/Behavioral Health | State: N/A | License: Verified | Primary: Secondary |
261QM0850X — Clinic/Center, Adult Mental HealthPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Yes (Primary) |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | 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 |
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