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MATCLINIC PHYSICIANS PRACTICE GROUP LLC
NPI 1417567157
Clinic/Center - Mental Health (Including Community Mental Health Center) in Laurel, MD

Active since August 07, 2020
601 7TH ST STE 304, LAUREL, MD 20707(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 09, 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 1417567157) is a healthcare organization registered as a mental health (including community mental health center) in Laurel, Maryland and active in the NPI registry since August 2020. The organization lists Dan Reck, Manager, as its authorized official.

NPPES Registry Identity

NPI1417567157
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMATCLINIC PHYSICIANS PRACTICE GROUP LLC
Location Address601 7TH ST STE 304Laurel, MD 20707-4011
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 1417567157 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
601 7TH ST STE 304, Laurel, MD 20707
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Other Identifiers 2

Medicaid661011100MD
Other200710010MD · Dept Of Health, Behavioral Health Admin

Other Providers at the Same Location NPPES 4

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

MATCLINIC PHYSICIANS PRACTICE GROUP LLC
Internal Medicine (Addiction Medicine)
601 7TH ST STE 304
LAUREL, MD 20707
Prince George's County (410) 220-0280
MATCLINIC PHYSICIANS PRACTICE GROUP LLC
Counselor (Addiction (Substance Use Disorder))
601 7TH ST STE 304
LAUREL, MD 20707
Prince George's County (410) 220-0780
MATCLINIC PHYSICIANS PRACTICE GROUP LLC
Community/Behavioral Health
601 7TH ST STE 304
LAUREL, MD 20707
Prince George's County (410) 220-0780
MATCLINIC PHYSICIANS PRACTICE GROUP LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
601 7TH ST STE 304
LAUREL, MD 20707
Prince George's County (410) 220-0780

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 1417567157. 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 601 7th St Ste 304, Laurel, MD 20707. 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.