MATCLINIC PHYSICIANS PRACTICE GROUP LLC (NPI# 1720637747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720637747 |
| Entity Type | Organization |
| Organization Name | MATCLINIC PHYSICIANS PRACTICE GROUP LLC |
| Practice Address |
40 S Dundalk Ave Ste 400 Dundalk MD 21222-4273 |
| Mailing Address |
503 Albemarle St Baltimore MD 21202-4304 |
| Practice Telephone | 4102200780 |
| Practice Fax Number | 4108620150 |
| Mailing Telephone | 4102200780 |
| Mailing Fax Number | 4108620150 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2020-08-07 |
| Authorized Official Name | DANIEL RECK (MANAGER) |
| Authorized Official Telephone | 4102200780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 444186900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548825813 | Matclinic Physicians Practice Group LLC | Counselor | 40 York Rd Ste 201, Towson, MD 21204-5243 | 2019-05-02 |
| 1356801534 | Matclinic Physicians Practice Group LLC | Internal Medicine | 107 Ridgely Ave Ste 12, Annapolis, MD 21401-1417 | 2019-03-22 |
| 1194217091 | Matclinic Physicians Practice Group LLC | Counselor | 601 7th St Ste 304, Laurel, MD 20707-4011 | 2018-06-06 |
| 1699385336 | Matclinic Physicians Practice Group LLC | Clinic/Center | 40 York Rd Ste 201, Towson, MD 21204-5243 | 2020-08-07 |
| 1417567157 | Matclinic Physicians Practice Group LLC | Clinic/Center | 601 7th St Ste 304, Laurel, MD 20707-4011 | 2020-08-07 |
| 1336759075 | Matclinic Physicians Practice Group LLC | Clinic/Center | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2020-08-07 |
| 1316557051 | Matclinic Physicians Practice Group LLC | Clinic/Center | 107 Ridgely Ave Ste 12, Annapolis, MD 21401-1417 | 2020-08-07 |
| 1841840808 | Matclinic Physicians Practice Group LLC | Community/Behavioral Health | 107 Ridgely Ave Ste 12, Annapolis, MD 21401-1417 | 2019-09-12 |
| 1669022620 | Matclinic Physicians Practice Group LLC | Community/Behavioral Health | 40 York Rd Ste 201, Towson, MD 21204-5243 | 2019-09-12 |
| 1750930863 | Matclinic Physicians Practice Group LLC | Clinic/Center | 601 7th St Ste 304, Laurel, MD 20707-4011 | 2019-09-11 |
| Street Address |
40 S DUNDALK AVE STE 400 |
| City | DUNDALK |
| State | MD |
| Zip Code | 21222-4273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255534756 | Enrique Ivan Oviedo | Psychiatry & Neurology | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2007-06-11 |
| 1336759075 | Matclinic Physicians Practice Group LLC | Clinic/Center | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2020-08-07 |
| 1760031876 | Matclinic Physicians Practice Group LLC | Clinic/Center | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2019-09-11 |
| 1801448360 | Matclinic Physicians Practice Group LLC | Counselor | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2019-07-15 |
| 1063904985 | Matclinic Physicians Practice Group LLC | Clinical Medical Laboratory | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2018-06-06 |
| 1073037479 | Betty Githuku | Nurse Practitioner | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2017-07-28 |
| 1104375294 | Matclinic Physicians Practice Group LLC | Counselor | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222 | 2016-09-29 |
| 1285927723 | Tetyana Evans | Nurse Practitioner | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2011-05-17 |
| 1023307733 | Lorena Blanco | Counselor | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2011-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634534 | Progressive Multi Medical Services Inc | Nurse Practitioner | 7704 Trappe Road, Dundalk, MD 21222 | 2020-03-14 |
| 1881240802 | Waleed Mazhar Khan | Pharmacist | 29-31 Sipping Pl, Baltimore, MD 21222 | 2019-08-15 |
| 1043773724 | Agnes Kavari | Occupational Therapy Assistant | 7232 German Hill Road, Heritage Center, Baltimore, MD 21222 | 2019-04-10 |
| 1609335702 | Addiction Treatment of Maryland | Substance Abuse Rehabilitation Facility | 19 Center Place, 1st Floor, Baltimore, MD 21222 | 2019-03-18 |
| 1558833368 | Millennium Residential Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1709 Holaview Road, Dundalk, MD 21222 | 2018-12-19 |
| 1639691447 | Tenicia S Washington | Nurse Practitioner | 1709 Holaview Rd, Dundalk, MD 21222 | 2017-07-13 |
| 1548708126 | Kevin Anthony Mason | Counselor | 7827 Wise Avenue, Dundalk Counseling Center, Baltimore, MD 21222 | 2017-02-03 |
| 1023569266 | Rachel Renee Barbarino | Physician Assistant | 1934 Ewald Ave, Baltimore, MD 21222 | 2016-10-24 |
| 1023562576 | Bd Health Services, Inc | Counselor | 3955 North Point Rd., Dundalk, MD 21222 | 2016-08-12 |
| 1205287596 | Dundalk Health Services, Inc. | Counselor | 6706 Holabird Ave, Baltimore, MD 21222 | 2016-06-28 |
| Find all providers in zip 21222 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659855955 | Push Behavioral Health, LLC | Community/Behavioral Health | 9 Center Pl, Dundalk, MD 21222-4362 | 2018-09-21 |
| 1710149448 | Ats of Cecil County,inc. | Community/Behavioral Health | 8801 Wise Ave, Suite 400, Dundalk, MD 21222-5004 | 2008-06-25 |
| 1972102879 | Amazin Recovery Treatment Services LLC | Community/Behavioral Health | 6730 Holabird Ave Ste 201, Dundalk, MD 21222-1700 | 2020-10-21 |
| 1265997688 | Conversion Health System, LLC | Community/Behavioral Health | 1709 Holaview Rd, Dundalk, MD 21222 | 2019-02-11 |
| 1790258580 | Mindful Healing Works Wellness Center LLC | Community/Behavioral Health | 7811 Wise Ave, Dundalk, MD 21222-3339 | 2019-01-04 |
| 1245574979 | National Pike Health Center, Inc. | Community/Behavioral Health | 23 Shipping Pl, Dundalk, MD 21222-4318 | 2012-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043127 | Ch Mh Services (md), LLC | Community/Behavioral Health | 12 W Montgomery St Ste 107, Baltimore, MD 21230-4490 | 2020-11-06 |
| 1154921682 | Neo Health Care Services, Inc. | Community/Behavioral Health | 110 Painters Mill Rd Ste 108, Owings Mills, MD 21117-5545 | 2020-10-26 |
| 1568062099 | Borderless Healthcare Services, LLC | Community/Behavioral Health | 1900 E Northern Pkwy Ste 308, Baltimore, MD 21239-2111 | 2020-10-26 |
| 1194324772 | Strength, Courage & Wisdom Behavioral Health | Community/Behavioral Health | 301 Main St Ste 2c, Reisterstown, MD 21136-1957 | 2020-10-23 |
| 1386243194 | Hands of Hope Therapeutic Services LLC | Community/Behavioral Health | 1123 State Route 3 N Ste 189, Gambrills, MD 21054-1715 | 2020-10-22 |
| 1568060630 | Miso Medical Center | Community/Behavioral Health | 14300 Cherry Lane Ct Ste 109, Laurel, MD 20707-4978 | 2020-10-12 |
| 1982211322 | Brenda Bivens Wilson | Community/Behavioral Health | 1726 Bolton St, Baltimore, MD 21217-4904 | 2020-09-29 |
| 1588270821 | Windward LLC | Community/Behavioral Health | 731 Old Herald Harbor Rd, Crownsville, MD 21032-1524 | 2020-09-22 |
| 1326652702 | Waller Psychotherapy, LLC | Community/Behavioral Health | 11007 Sweet Apple Ct, Upper Marlboro, MD 20772-7103 | 2020-09-03 |
| 1962016147 | One Step Closer Psychiatric Rehabilitation Program | Community/Behavioral Health | 8118 Harford Rd Ste E, Parkville, MD 21234-5725 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.