Matclinic Physicians Practice Group LLC
Matclinic Physicians Practice Group LLC is a healthcare organization registered as Addiction Medicine (Internal Medicine) Physician in Annapolis, MD, holding Type 2 (organization) NPI 1356801534 since 2019. The authorized official on file is Dan Reck, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1356801534 |
|---|---|
| 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 | 2019-03-22 |
| Last updated in NPPES | 2022-05-11 |
Authorized official
| Name | Dan Reck |
|---|---|
| Title | Manager |
| Phone | 4102200780 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Secondary | — | — |
| 101YM0800X | Mental Health Counselor | Secondary | — | — |
| 101YP2500X | Professional Counselor | Secondary | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | Secondary | — | — |
| 2084P0800X | Psychiatry Physician | Secondary | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Secondary | — | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135675502 | Medicaid | MD | — |
Copy-ready billing details
Provider: Matclinic Physicians Practice Group LLC NPI: 1356801534 Taxonomy: 207RA0401X (Addiction Medicine (Internal Medicine) Physician) Address: 107 RIDGELY AVE STE 12, Annapolis, MD, 21401
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1174175632 | Matclinic Physicians Practice Group LLC | Organization | Addiction (Substance Use Disorder) Counselor | 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 1356801534 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.