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MATCLINIC PHYSICIANS PRACTICE GROUP LLC
NPI 1821647934
Clinic/Center - Rehabilitation, Substance Use Disorder in Annapolis, MD

Active since September 11, 2019
107 RIDGELY AVE STE 12, ANNAPOLIS, MD 21401(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 02, 2026.

Record update history: May 11, 2022, Jun 30, 2021, Aug 7, 2020 and 2 more (5 updates tracked since 2019).

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 1821647934) is a healthcare organization registered as a rehabilitation, substance use disorder in Annapolis, Maryland and active in the NPI registry since September 2019. The organization lists Daniel Reck, Manager, as its authorized official.

NPPES Registry Identity

NPI1821647934
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameMATCLINIC PHYSICIANS PRACTICE GROUP LLC
Location Address107 RIDGELY AVE STE 12Annapolis, MD 21401-1417
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 OfficialDaniel ReckManager · (410) 220-0780
Enumeration DateSeptember 11, 2019
Last NPPES UpdateMay 11, 20225 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1821647934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
107 RIDGELY AVE STE 12, Annapolis, MD 21401
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Other Identifiers 2

Other190809021MD · Dept Of Health, Behavioral Health Admin
Medicaid265074602MD

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
Counselor (Addiction (Substance Use Disorder))
107 RIDGELY AVE STE 12
ANNAPOLIS, MD 21401
Anne Arundel County (410) 220-0780
MATCLINIC PHYSICIANS PRACTICE GROUP LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
107 RIDGELY AVE STE 12
ANNAPOLIS, MD 21401
Anne Arundel County (410) 220-0780
MATCLINIC PHYSICIANS PRACTICE GROUP LLC
Internal Medicine (Addiction Medicine)
107 RIDGELY AVE STE 12
ANNAPOLIS, MD 21401
Anne Arundel County (410) 220-0780
MATCLINIC PHYSICIANS PRACTICE GROUP LLC
Community/Behavioral Health
107 RIDGELY AVE STE 12
ANNAPOLIS, MD 21401
Anne Arundel 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 1821647934. It was assigned to this organization in the NPPES registry on September 11, 2019.

Where is Matclinic Physicians Practice Group LLC located?

Matclinic Physicians Practice Group LLC is located at 107 Ridgely Ave Ste 12, Annapolis, MD 21401. 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 Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

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.