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MATCLINIC PHYSICIANS PRACTICE GROUP LLC
NPI 1336759075
Clinic/Center - Mental Health (Including Community Mental Health Center) in Dundalk, MD

Active since August 07, 2020
40 S DUNDALK AVE STE 400, DUNDALK, MD 21222(410) 220-0780(410) 862-0150 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2022, Jun 30, 2021, Aug 7, 2020 (3 updates tracked since 2020).

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 1336759075) is a healthcare organization registered as a mental health (including community mental health center) in Dundalk, Maryland and active in the NPI registry since August 2020. The organization lists Dan Reck, Manager, as its authorized official.

NPPES Registry Identity

NPI1336759075
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMATCLINIC PHYSICIANS PRACTICE GROUP LLC
Location Address40 S DUNDALK AVE STE 400Dundalk, MD 21222-4273
Mailing AddressPo Box 9068Baltimore, MD 21222-0768 · (410) 220-0720 · Fax (410) 862-0150
Phone(410) 220-0780
Fax(410) 862-0150
Organization SubpartNo
Authorized OfficialDan ReckManager · (410) 220-0780
Enumeration DateAugust 7, 2020
Last NPPES UpdateMay 11, 20223 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1336759075 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
40 S DUNDALK AVE STE 400, Dundalk, MD 21222
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Other Identifiers 2

Other200710011MD · Dept Of Health, Behavioral Health Admin
Medicaid661011102MD

Other Providers at the Same Location NPPES 11

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

MATCLINIC PHYSICIANS PRACTICE GROUP LLC
Clinical Medical Laboratory
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Baltimore County (410) 220-0780
BETTY GITHUKU NP
Nurse Practitioner (Family)
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Baltimore County (410) 220-0780
MATCLINIC PHYSICIANS PRACTICE GROUP LLC
Internal Medicine (Addiction Medicine)
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Baltimore County (410) 220-0780
CATHY L STANFIELD NP
Nurse Practitioner (Acute Care)
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Baltimore County (410) 220-0720
ENRIQUE IVAN OVIEDO MD
Psychiatry & Neurology (Psychiatry)
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Baltimore County (410) 220-0780
KELLY MICHELE MAHER LCPC
Counselor (Professional)
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Baltimore County (410) 220-0720
JACQUELINE VICTORIA SHEA NP
Nurse Practitioner (Family)
40 S DUNDALK AVE STE 400
BALTIMORE, MD 21222
Baltimore County (410) 220-0720
SALINA A SAHLE NP
Nurse Practitioner (Adult Health)
40 S DUNDALK AVE STE 400
BALTIMORE, MD 21222
Baltimore County (410) 220-0720

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 1336759075. It was assigned to this organization in the NPPES registry on August 7, 2020.

Where is Matclinic Physicians Practice Group LLC located?

Matclinic Physicians Practice Group LLC is located at 40 S Dundalk Ave Ste 400, Dundalk, MD 21222. The listed phone number is (410) 220-0780.

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.