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MD MATT LLC
NPI 1669941175
Nurse Practitioner - Psychiatric/Mental Health in Owings Mills, MD

Active since November 14, 2018
10220 S DOLFIELD RD STE 106, OWINGS MILLS, MD 21117(443) 559-4137 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2024, Apr 4, 2023, Oct 3, 2019 and 3 more (6 updates tracked since 2018).

About Md Matt Llc NPPES

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

MD MATT LLC (NPI 1669941175) is a healthcare organization registered as a psychiatric/mental health in Owings Mills, Maryland and active in the NPI registry since November 2018. The organization lists William Cory Shaffer, Care Coordinator, as its authorized official.

NPPES Registry Identity

NPI1669941175
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMD MATT LLC
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 OfficialWilliam Cory ShafferCare Coordinator · (443) 559-4137
Enumeration DateNovember 14, 2018
Last NPPES UpdateJune 24, 20246 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1669941175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
10220 S DOLFIELD RD STE 106, Owings Mills, MD 21117
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Other Identifiers 1

Medicaid181014600MD

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 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
Clinic/Center (Adult 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 LLC's NPI number?

The NPI number for MD Matt LLC is 1669941175. It was assigned to this organization in the NPPES registry on November 14, 2018.

Where is MD Matt LLC located?

MD Matt LLC 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 LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for MD Matt LLC was last updated on June 24, 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.