MATCLINIC PHYSICIANS PRACTICE GROUP LLC - NPI 1548825813

Q: What is Matclinic Physicians Practice Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

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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 1548825813) is a healthcare organization registered as an addiction medicine in Towson, Maryland and active in the NPI registry since May 2019. The organization lists Dan Reck, Manager, as its authorized official.

NPPES Registry Identity

NPI1548825813

Entity TypeOrganization

Primary Taxonomy207RA0401X

Legal Business NameMATCLINIC PHYSICIANS PRACTICE GROUP LLC

Location Address40 YORK RD STE 201Towson, MD 21204-5243

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 DateMay 2, 2019

Last NPPES UpdateMay 11, 20226 updates tracked since enumeration

NPPES CertifiedMay 11, 2022

✔ NPI 1548825813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

40 YORK RD STE 201, Towson, MD 21204

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Other Identifiers 1

Medicaid135675503MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

SABRINA N RICHARDSON LCPC

Counselor (Professional)