NPIMap

Organization Active NPI

Mind Over Matter Health Services

  • Community/Behavioral Health Agency
  • Clinton, MD
National Provider Identifier
1003264243
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIND OVER MATTER HEALTH SERVICES
Practice address
7700 Old Branch Ave
B204
Clinton, MD 20735-1628
Phone
(301) 868-0849
NPI assigned
May 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Asia Maria Al-Mateen, LCPC, MAC, ACS
Title
Ceo
Phone
(410) 982-1353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7700 Old Branch Ave
B204
Clinton, MD 20735-1628

Mailing address

7700 Old Branch Ave
B204
Clinton, MD 20735-1628
Phone (301) 868-0849

Other identifiers 1

IdentifierTypeStateIssuer
577200101MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Mind Over Matter Health Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7700 Old Branch Ave
Ste B204
Clinton, MD 20735
Phone (301) 868-0849

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1003264243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 OLD BRANCH AVE",
            "address_2": "B204",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351628",
            "telephone_number": "301-868-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 OLD BRANCH AVE",
            "address_2": "B204",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351628",
            "telephone_number": "301-868-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND OVER MATTER HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "AL-MATEEN",
        "authorized_official_first_name": "ASIA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-982-1353",
        "authorized_official_credential": "LCPC, MAC, ACS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "577200101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.