MD MATT NPI 1356857395

NPI Information

  • NPI: 1356857395
  • Provider Name: MD MATT
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Doing Business As: MD MATT
  • CLIA Number: 21D2267232
  • Address: 10220 S DOLFIELD RD STE 106
    OWINGS MILLS, MD
    ZIP 21117
  • Phone: (443) 559-4137

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NPI Details

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:

10220 S DOLFIELD RD STE 106
OWINGS MILLS, MD
ZIP 21117-660
Phone: (443) 559-4137

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 21D2267232 - other - np office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2017 and was last updated on 7/16/2024.

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 Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes
2261QP2300XClinic/CenterPrimary CareNo

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: 11/21/2025

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