MATCLINIC PHYSICIANS PRACTICE GROUP LLC
NPI 1083204424
Clinic/Center - Mental Health (Including Community Mental Health Center) in Havre De Grace, MD

Active since January 20, 2021
253 LEWIS LN STE 201, HAVRE DE GRACE, MD 21078(410) 220-0720(410) 862-0150 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2022, Jan 20, 2021 (2 updates tracked since 2021).

About Matclinic Physicians Practice Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATCLINIC PHYSICIANS PRACTICE GROUP LLC (NPI 1083204424) is a healthcare organization registered as a mental health (including community mental health center) in Havre De Grace, Maryland and active in the NPI registry since January 2021. The organization lists Dan Reck, Manager, as its authorized official.

NPPES Registry Identity

NPI1083204424
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMATCLINIC PHYSICIANS PRACTICE GROUP LLC
Location Address253 LEWIS LN STE 201Havre De Grace, MD 21078-3756
Mailing AddressPo Box 9068Baltimore, MD 21222-0768 · (410) 220-0720 · Fax (410) 862-0150
Fax(410) 862-0150
Organization SubpartNo
Authorized OfficialDan ReckManager · (410) 220-0720
Enumeration DateJanuary 20, 2021
Last NPPES UpdateMay 11, 20222 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
NPI 1083204424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
253 LEWIS LN STE 201, Havre De Grace, MD 21078

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Addiction Medicine)
253 LEWIS LN STE 201
HAVRE DE GRACE, MD 21078
Clinic/Center (Rehabilitation, Substance Use Disorder)
253 LEWIS LN STE 201
HAVRE DE GRACE, MD 21078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matclinic Physicians Practice Group LLC's NPI number?

The NPI number for Matclinic Physicians Practice Group LLC is 1083204424. It was assigned to this organization in the NPPES registry on January 20, 2021.

Where is Matclinic Physicians Practice Group LLC located?

Matclinic Physicians Practice Group LLC is located at 253 Lewis Ln Ste 201, Havre De Grace, MD 21078. The listed phone number is (410) 220-0720.

What is Matclinic Physicians Practice Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Matclinic Physicians Practice Group LLC was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.