CMS-1500 Box 24J / 33a • NPI
1780533638
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
364SP0810X (CMS 89)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Child & Family
Box 32 Service Location & ZIP+4
8700 CENTRAL AVE STE 308, LANDOVER, MD, 20785-4853
✓ 9-Digit EDI 837 ZIP+4 (20785-4853)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1780533638 (ALLY HEALTH NURSING AND MEDICAL SERVICES INCORPORATION) 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 | 1780533638 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ALLY HEALTH NURSING AND MEDICAL SERVICES INCORPORATION |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Child & Family NUCC Code: 364SP0810X (Clinical Nurse Specialist, Psych/Mental Health, Child & Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 8700 CENTRAL AVE STE 308, LANDOVER, MD, 20785-4853 |
| Practice Telephone / Fax | Tel: (301) 825-4059 | Fax: (240) 879-9958 |
| Administrative Mailing Address | 15202 EMILY CT, BOWIE, MD, 20716-3200 |
| Enumeration & Last Sync | Enumerated: 2026-01-23 | CMS Record Updated: 2026-01-23 |
| Authorized Official | CHRISTOPHER TITUS (CEO) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (364SP0810X)
What Does Taxonomy Code 364SP0810X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 364SP0810X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Child & Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ALLY HEALTH NURSING AND MEDICAL SERVICES INCORPORATION)
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 |
|---|---|
101YA0400X — Counselor, Addiction (Substance Use Disorder)Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) | 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 |
364SP0810X — Clinical Nurse Specialist, Psych/Mental Health, Child & FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Child & Family | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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