MATCLINIC PHYSICIANS PRACTICE GROUP LLC
NPI 1720637747
Community/Behavioral Health in Dundalk, MD

NPI Status: Active since September 11, 2019

Contact Information

40 S DUNDALK AVE STE 400
DUNDALK, MD
ZIP 21222
Phone: (410) 220-0780
Fax: (410) 862-0150

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  • Organization
  • Community/Behavioral Health

About MATCLINIC PHYSICIANS PRACTICE GROUP LLC

This page provides the complete NPI Profile along with additional information for Matclinic Physicians Practice Group Llc, a provider established in Dundalk, Maryland operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1720637747 assigned on September 2019. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Daniel Reck (Manager)

NPI
1720637747
Provider Name
MATCLINIC PHYSICIANS PRACTICE GROUP LLC
Entity Type
Organization
Location Address
40 S DUNDALK AVE STE 400 DUNDALK, MD 21222
Location Phone
(410) 220-0780
Location Fax
(410) 862-0150
Mailing Address
PO BOX 9068 BALTIMORE, MD 21222
Mailing Phone
(410) 220-0720
Mailing Fax
(410) 862-0150
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2019
Last Update Date
05-11-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANIEL RECK

Authorized Official Title
MANAGER
Authorized Official Phone
(410) 220-0780

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
190809056OTHER (01)MDDEPT OF HEALTH, BEHAVIORAL HEALTH ADMIN
444186900MEDICAID (05)MD 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720637747, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 6 → 12 → 3 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 1 + 2 + 3 + 1 + 4 + 7 + 8 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1720637747.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
40 S DUNDALK AVE STE 400
BALTIMORE, MD 21222
Nurse Practitioner (Family)
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Psychiatry & Neurology (Psychiatry)
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Clinical Medical Laboratory
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Internal Medicine (Addiction Medicine)
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Clinic/Center (Mental Health (Including Community Mental Health Center))
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Clinic/Center (Rehabilitation, Substance Use Disorder)
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Counselor (Addiction (Substance Use Disorder))
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Nurse Practitioner (Acute Care)
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Nurse Practitioner (Adult Health)
40 S DUNDALK AVE STE 400
BALTIMORE, MD 21222
Nurse Practitioner (Acute Care)
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Counselor (Professional)
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720637747, enumerated as an "organization" on September 11, 2019.

The provider is located at 40 S DUNDALK AVE STE 400 DUNDALK, MD 21222 and the phone number is (410) 220-0780.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.