Provider Type Icon

MATCLINIC PHYSICIANS PRACTICE GROUP LLC NPI 1225608391


NPI Information

NPI: 1225608391
Provider Name: MATCLINIC PHYSICIANS PRACTICE GROUP LLC
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 21D2231417

Address:
659 S SALISBURY BLVD STE 4
SALISBURY, MD
ZIP 21801
Phone: (410) 220-0720
Get Directions

MATCLINIC PHYSICIANS PRACTICE GROUP LLC is an addiction medicine internal medicine in Salisbury, MD. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. MATCLINIC PHYSICIANS PRACTICE GROUP LLC NPI is 1225608391. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

659 S SALISBURY BLVD STE 4
SALISBURY, MD
ZIP 21801-473
Phone: (410) 220-0720
Fax: (410) 862-0150

The provider's authorized official is Dan Reck .
The authorized official title is Manager and has the following contact phone number (410) 220-0720.

The CLIA number assigned to this NPI record is 21D2231417 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2021 and was last updated on 6/30/2021.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalNo
4207RA0401XInternal MedicineAddiction MedicineYes
52084A0401XPsychiatry & NeurologyAddiction MedicineNo
62084P0800XPsychiatry & NeurologyPsychiatryNo
7363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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.