Individual provider Active NPI

Matthew Hale Mauro, PMHNP-BC

  • Psychiatry Physician
  • Towson, MD
National Provider Identifier
1154915387
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R195403 Issued in MD
Practice address
1200 E Joppa Rd Ste a
Towson, MD 21286-5810
Phone
(443) 798-7707
Fax
(443) 798-2772
NPI assigned
Feb 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R195403 MD Primary

Addresses

Primary practice location

1200 E Joppa Rd Ste a
Towson, MD 21286-5810

Mailing address

1200 E Joppa Rd Ste a
Towson, MD 21286-5810
Phone (443) 798-7707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211102002826 MD Practitioner - Nurse Practitioner 5991193450 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lucid Psychiatric Practice LLCGroup PAC ID 5092087445, 6 clinicians

Practice addresses (Care Compare)

1200 E Joppa Rd
Suite a
Towson, MD 21286-5810
Phone (443) 798-7707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R195403MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
4 2 Restore LLC CurrentSince Aug 3, 2022 Accepting new patients
Lucid Psychiatric Practice LLC Psychiatric/Mental Health CurrentSince Feb 1, 2022 Accepting new patients
Harmony Counceling Center Inc CurrentSince Sep 1, 2021 Accepting new patients
M & M Mental Health and Wellness Clinic LLC Psychiatry Current Accepting new patients

Locations

7939 Honeygo Blvd
Ste 224
Nottingham, MD 21236
Phone (410) 933-3700

1200 E Joppa Rd
Ste A
Towson, MD 21286
Phone (443) 632-9302

3527 N Rolling Rd
Ste 4
Windsor Mill, MD 21244
Phone (410) 701-9190

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1154915387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E JOPPA RD STE A",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865810",
            "telephone_number": "443-798-7707",
            "fax_number": "443-798-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E JOPPA RD STE A",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865810",
            "telephone_number": "443-798-7707",
            "fax_number": "443-798-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURO",
        "first_name": "MATTHEW",
        "middle_name": "HALE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-28",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "R195403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.