MD MATT LLC
NPI 1609547009
Clinic/Center - Mental Health (Including Community Mental Health Center) in Hyattsville, MD

NPI Status: Active since September 24, 2021

Contact Information

6401 NEW HAMPSHIRE AVE
HYATTSVILLE, MD
ZIP 20783
Phone: (410) 364-8194
Fax: (410) 364-8194

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About MD MATT LLC

This page provides the complete NPI Profile along with additional information for Md Matt Llc, a provider established in Hyattsville, Maryland operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1609547009 assigned on September 2021. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is William Shaffer (Director)

NPI
1609547009
Provider Name
MD MATT LLC
Entity Type
Organization
Location Address
6401 NEW HAMPSHIRE AVE HYATTSVILLE, MD 20783
Location Phone
(410) 364-8194
Location Fax
(410) 364-8194
Mailing Address
10220 S DOLFIELD RD STE 106 OWINGS MILLS, MD 21117
Mailing Phone
(443) 559-4137
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-24-2021
Last Update Date
12-30-2024
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Location Map

Secondary Locations

  • 7309 Baltimore Ave Ste 219
    College Park, MD 20740
    (443) 559-4137

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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LA2200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Adult Health

 

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

WILLIAM SHAFFER

Authorized Official Title
DIRECTOR
Authorized Official Phone
(443) 220-6122

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
181014604MEDICAID (05)MD 
062712289MEDICAID (05)DC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609547009
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26091041400
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 0 + 4 + 1 + 4 + 0 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1609547009 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063826907COMMUNITY HEALTH & URGENT CARE CLINIC
Organization
Clinic/Center (Primary Care)6401 NEW HAMPSHIRE AVE
HYATTSVILLE, MD 20783
(301) 801-0292
1013302728DR. LAURE B. NDEUTCHOUA FNP-C, DNP
Individual
Nurse Practitioner (Family)6401 NEW HAMPSHIRE AVE SUITE 100
HYATTSVILLE, MD 20783
(301) 466-3593
1124484779SDM-1 STOP PRIMARY & URGENT CARE
Organization
Clinic/Center (Urgent Care)6401 NEW HAMPSHIRE AVE 100
HYATTSVILLE, MD 20783
(301) 466-3593

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609547009, enumerated in the NPI registry as an "organization" on September 24, 2021

The provider is located at 6401 New Hampshire Ave Hyattsville, Md 20783 and the phone number is (410) 364-8194

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 24, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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