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MD MATT
NPI 1356857395
Clinic/Center - Adult Mental Health in Owings Mills, MD

Active since December 27, 2017CLIA Certified · 2 labs
10220 S DOLFIELD RD STE 106, OWINGS MILLS, MD 21117(443) 559-4137 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 16, 2024, Oct 1, 2019, May 28, 2019 and 2 more (5 updates tracked since 2017).

About Md Matt NPPES

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

MD MATT (NPI 1356857395) is a healthcare organization registered as an adult mental health in Owings Mills, Maryland and active in the NPI registry since December 2017. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Randallstown, and lists Md Matt, Owner And Business Manager, as its authorized official.

NPPES Registry Identity

NPI1356857395
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMD MATT
Location Address10220 S DOLFIELD RD STE 106Owings Mills, MD 21117-3660
Mailing Address10220 S Dolfield Rd Ste 106Owings Mills, MD 21117-3660 · (443) 559-4137
Phone(443) 559-4137
Organization SubpartNo
Authorized OfficialMd MattOwner And Business Manager · (443) 559-4137
Enumeration DateDecember 27, 2017
Last NPPES UpdateJuly 16, 20245 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
✔ NPI 1356857395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
10220 S DOLFIELD RD STE 106, Owings Mills, MD 21117
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Other Names 1

Doing Business AsMd Matt

Secondary Practice Location 1

Location 19216 Liberty RdRandallstown, MD 21133 · Phone (443) 220-6122

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 21D2151446

MD Matt · Owings Mills, MD
Active · expires Mar 13, 2027
CLIA Number21D2151446
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorTiffany Knight
Laboratory Phone(443) 559-4137
Laboratory LocationMD Matt10220 S Dolfield Rd Ste 106, Owings Mills, MD 21117
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 21D2175657

MD Matt LLC · Baltimore, MD
Active · expires Aug 19, 2028
CLIA Number21D2175657
Laboratory TypePractitioner Other
Certificate Effective DateAugust 20, 2026
Certificate Expiration DateAugust 19, 2028
Laboratory DirectorCalandra N. Harding
Laboratory Phone(443) 559-4137
Laboratory LocationMD Matt LLC1050 North Point Rd #203, Baltimore, MD 21224
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SHEILA YVONNE SNOWDEN LCSW
Social Worker (Clinical)
10220 S DOLFIELD RD STE 106
OWINGS MILLS, MD 21117
Baltimore County (443) 559-4137
MD MATT LLC
Nurse Practitioner (Psychiatric/Mental Health)
10220 S DOLFIELD RD STE 106
OWINGS MILLS, MD 21117
Baltimore County (443) 559-4137
MD MATT LLC
Nurse Practitioner (Family)
10220 S DOLFIELD RD STE 106
OWINGS MILLS, MD 21117
Baltimore County (410) 575-1255

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 MD Matt's NPI number?

The NPI number for MD Matt is 1356857395. It was assigned to this organization in the NPPES registry on December 27, 2017.

Where is MD Matt located?

MD Matt is located at 10220 S Dolfield Rd Ste 106, Owings Mills, MD 21117. The listed phone number is (443) 559-4137.

What is MD Matt's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Does MD Matt hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for MD Matt was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.