MELVIN SYLVESTER MATHIS MED NPI 1285490011

NPI Information

NPI: 1285490011
Provider Name: MELVIN SYLVESTER MATHIS, MED
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Individual
Address:
2709 KIRK AVE
BALTIMORE, MD
ZIP 21218
Phone: (410) 274-6689
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Melvin Sylvester Mathis, MED is a substance abuse rehabilitation facility in Baltimore, MD. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. Melvin Sylvester Mathis, MED NPI is 1285490011. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2709 KIRK AVE
BALTIMORE, MD
ZIP 21218-810
Phone: (410) 274-6689

The enumeration date for this NPI number is 2/28/2024 and was last updated on 2/28/2024.

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 Code	Taxonomy Clasification	License State	Primary
1	276400000X	Rehabilitation, Substance Use Disorder Unit	MARYLAND	No
2	276400000X	Rehabilitation, Substance Use Disorder Unit		No
3	324500000X	Substance Abuse Rehabilitation Facility	MARYLAND	Yes

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: 5/5/2024

NPI Synchronization or Removal

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