Matclinic Physicians Practice Group LLC
Matclinic Physicians Practice Group LLC is a healthcare organization registered as Addiction (Substance Use Disorder) Counselor in Annapolis, MD, holding Type 2 (organization) NPI 1174175632 since 2019. The authorized official on file is Dan Reck, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174175632 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Matclinic Physicians Practice Group LLC |
| Practice address | 107 RIDGELY AVE STE 12, Annapolis, MD, 21401 |
| Phone | 4102200780 |
| Fax | 4108620150 |
| Enumeration date | 2019-07-15 |
| Last updated in NPPES | 2022-05-11 |
Authorized official
| Name | Dan Reck |
|---|---|
| Title | Manager |
| Phone | 4102200780 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor | Secondary | — | — |
| 101YP2500X | Professional Counselor | Secondary | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 561008702 | Medicaid | MD | — |
Copy-ready billing details
Provider: Matclinic Physicians Practice Group LLC NPI: 1174175632 Taxonomy: 101YA0400X (Addiction (Substance Use Disorder) Counselor) Address: 107 RIDGELY AVE STE 12, Annapolis, MD, 21401
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1356801534 | Matclinic Physicians Practice Group LLC | Organization | Addiction Medicine (Internal Medicine) Physician | Annapolis, MD |
| 1821647934 | Matclinic Physicians Practice Group LLC | Organization | Substance Use Disorder Rehabilitation Clinic/Center | Annapolis, MD |
| 1841840808 | Matclinic Physicians Practice Group LLC | Organization | Community/Behavioral Health Agency | Annapolis, MD |
| 1316557051 | Matclinic Physicians Practice Group LLC | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Annapolis, MD |
Verify this record
Cross-check NPI 1174175632 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
Where is Matclinic Physicians Practice Group LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-05-11.