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MD MATT NPI 1356857395


NPI Information

NPI: 1356857395
Provider Name: MD MATT

Doing Business As: MD MATT

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 21D2151446

Address:
110 PAINTERS MILL RD STE 203
OWINGS MILLS, MD
ZIP 21117
Phone: (443) 220-6123
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MD MATT is an adult mental health clinic center in Owings Mills, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MD MATT NPI is 1356857395. The provider is registered as an organization entity type.
The provider Is Doing Business As Md Matt.

The provider's business location address is:

110 PAINTERS MILL RD STE 203
OWINGS MILLS, MD
ZIP 21117-543
Phone: (443) 220-6123

The provider's authorized official is Md Matt .
The authorized official title is Owner And Business Manager and has the following contact phone number (443) 559-4137.

The CLIA number assigned to this NPI record is 21D2151446 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2017 and was last updated on 10/1/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareNo
2261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.