MATCLINIC PHYSICIANS PRACTICE GROUP LLC NPI 1528610086

NPI Information

  • NPI: 1528610086
  • Provider Name: MATCLINIC PHYSICIANS PRACTICE GROUP LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 40 YORK RD STE 201
    TOWSON, MD
    ZIP 21204
  • Phone: (410) 220-0780

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NPI Details

MATCLINIC PHYSICIANS PRACTICE GROUP LLC is an addiction (substance use disorder) counselor in Towson, MD. MATCLINIC PHYSICIANS PRACTICE GROUP LLC NPI is 1528610086. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

40 YORK RD STE 201
TOWSON, MD
ZIP 21204-243
Phone: (410) 220-0780
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) 220-0780.

The enumeration date for this NPI number is 7/15/2019 and was last updated on 5/11/2022.

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
1101YP2500XCounselorProfessionalNo
2101YM0800XCounselorMental HealthNo
3101YA0400XCounselorAddiction (Substance Use Disorder)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1561008700MEDICAIDMARYLAND

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

NPI Synchronization or Removal

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