Organization Active NPI

Mats Clinic LLC

  • Addiction Medicine (Family Medicine) Physician
  • Baton Rouge, LA
National Provider Identifier
1326875931
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
MATS CLINIC LLC
Practice address
624 Connell Park LN Ste A1
Baton Rouge, LA 70806-6534
Phone
(225) 468-6287
Fax
(225) 443-4733
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Katelyn MelanconNPI 1750952578
Title
Program Coordinator
Phone
(225) 468-6287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X

Addresses

Primary practice location

624 Connell Park LN Ste A1
Baton Rouge, LA 70806-6534

Mailing address

624 Connell Park LN Ste A1
Baton Rouge, LA 70806-6534
Phone (225) 468-6287

National Provider Directory

National Provider Directory

Locations

624 Connell Park Ln
Baton Rouge, LA 70806
Phone (225) 300-4850

624 Connell Park Ln
Ste A1
Baton Rouge, LA 70806
Phone (225) 468-6287

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1326875931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 CONNELL PARK LN STE A1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066534",
            "telephone_number": "225-468-6287",
            "fax_number": "225-251-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 CONNELL PARK LN STE A1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066534",
            "telephone_number": "225-468-6287",
            "fax_number": "225-443-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "MELANCON",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "225-468-6287"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.