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MD MATT LLC
NPI 1609547009
Clinic/Center - Mental Health (Including Community Mental Health Center) in Hyattsville, MD

Active since September 24, 2021
6401 NEW HAMPSHIRE AVE, HYATTSVILLE, MD 20783(410) 364-8194(410) 364-8194 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2024, Sep 24, 2021 (2 updates tracked since 2021).

About Md Matt Llc NPPES

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

MD MATT LLC (NPI 1609547009) is a healthcare organization registered as a mental health (including community mental health center) in Hyattsville, Maryland and active in the NPI registry since September 2021. The organization maintains a secondary practice location in College Park and lists William Shaffer, Director, as its authorized official.

NPPES Registry Identity

NPI1609547009
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMD MATT LLC
Location Address6401 NEW HAMPSHIRE AVEHyattsville, MD 20783-3201
Mailing Address10220 S Dolfield Rd Ste 106Owings Mills, MD 21117-3660 · (443) 559-4137
Phone(410) 364-8194
Fax(410) 364-8194
Organization SubpartYes
Authorized OfficialWilliam ShafferDirector · (443) 220-6122
Enumeration DateSeptember 24, 2021
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1609547009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
6401 NEW HAMPSHIRE AVE, Hyattsville, MD 20783
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Secondary Practice Location 1

Location 17309 Baltimore Ave Ste 219College Park, MD 20740-3200 · Phone (443) 559-4137

Other Identifiers 2

Medicaid181014604MD
Medicaid062712289DC

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.

DR. LAURE B. NDEUTCHOUA FNP-C, DNP
Nurse Practitioner (Family)
6401 NEW HAMPSHIRE AVE, SUITE 100
HYATTSVILLE, MD 20783
Prince George's County (301) 466-3593
COMMUNITY HEALTH & URGENT CARE CLINIC
Clinic/Center (Primary Care)
6401 NEW HAMPSHIRE AVE
HYATTSVILLE, MD 20783
Prince George's County (301) 801-0292
SDM-1 STOP PRIMARY & URGENT CARE
Clinic/Center (Urgent Care)
6401 NEW HAMPSHIRE AVE, 100
HYATTSVILLE, MD 20783
Prince George's County (301) 466-3593

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 LLC's NPI number?

The NPI number for MD Matt LLC is 1609547009. It was assigned to this organization in the NPPES registry on September 24, 2021.

Where is MD Matt LLC located?

MD Matt LLC is located at 6401 New Hampshire Ave, Hyattsville, MD 20783. The listed phone number is (410) 364-8194.

What is MD Matt 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 MD Matt LLC was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.