Matclinic Physicians Practice Group LLC
Matclinic Physicians Practice Group LLC is a healthcare organization registered as Addiction Medicine (Internal Medicine) Physician in Dundalk, MD, holding Type 2 (organization) NPI 1104375294 since 2016. The authorized official on file is Daniel Reck, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104375294 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Matclinic Physicians Practice Group LLC |
| Practice address | 40 S DUNDALK AVE STE 400, Dundalk, MD, 21222 |
| Phone | 4102200780 |
| Fax | 4108620150 |
| Enumeration date | 2016-09-29 |
| Last updated in NPPES | 2022-05-11 |
Authorized official
| Name | Daniel Reck |
|---|---|
| Title | Manager |
| Phone | 4102200780 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | Secondary | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Secondary | — | — |
| 101YM0800X | Mental Health Counselor | Secondary | — | — |
| 2084P0800X | Psychiatry Physician | Secondary | — | — |
| 101YP2500X | Professional Counselor | Secondary | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Secondary | — | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 357117300 | Medicaid | MD | — |
Copy-ready billing details
Provider: Matclinic Physicians Practice Group LLC NPI: 1104375294 Taxonomy: 207RA0401X (Addiction Medicine (Internal Medicine) Physician) Address: 40 S DUNDALK AVE STE 400, Dundalk, MD, 21222
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1255477261 | Cathy Stanfield | Individual | Acute Care Nurse Practitioner | Dundalk, MD |
| 1255534756 | Enrique Oviedo | Individual | Psychiatry Physician | Dundalk, MD |
| 1942540083 | Lum Maximuangu | Individual | Acute Care Nurse Practitioner | Dundalk, MD |
| 1699145102 | Salina Sahle | Individual | Adult Health Nurse Practitioner | Baltimore, MD |
| 1477903714 | Kelly Maher | Individual | Professional Counselor | Dundalk, MD |
| 1073037479 | Betty Githuku | Individual | Family Nurse Practitioner | Dundalk, MD |
| 1588171482 | Jacqueline Shea | Individual | Family Nurse Practitioner | Baltimore, MD |
| 1063904985 | Matclinic Physicians Practice Group LLC | Organization | Clinical Medical Laboratory | Dundalk, MD |
Verify this record
Cross-check NPI 1104375294 against the authoritative CMS record: view Matclinic Physicians Practice Group LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Matclinic Physicians Practice Group LLC?
Who is the authorized official for Matclinic Physicians Practice Group LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-05-11.