M & M Mental Health and Wellness Clinic LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

M & M MENTAL HEALTH AND WELLNESS CLINIC LLC

Practice address

122 Waelchli Ave
Halethorpe, MD 21227-2546

Phone

(443) 845-4269

NPI assigned

Jul 19, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Hale Mauro, CRNP-PMHNPI 1154915387

Title

Medical Director

Phone

(443) 845-4269

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Matthew Hale Mauro, PMHNP-BC

  • Psychiatry Physician
  • Towson, MD
  • NPI 1154915387
  NPD Authorized official

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1417520529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WAELCHLI AVE",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212272546",
            "telephone_number": "443-845-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WAELCHLI AVE",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212272546",
            "telephone_number": "443-845-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M MENTAL HEALTH AND WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "MAURO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "HALE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "443-845-4269",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNP-PMH"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154915387",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Lipman, D.P.M.
• Ina Lloshi
• Taylor Love, MS, RD, LDN
• Morgan Lovell
• Ashley Lowe, LMSW
• Maria W Madah, MD
• Jessica M Maizel, PMHNP-BC
• Asha Manohar, M.D.
• Elizabeth Castillo Marshall, M.D.
• Sandra M Martin, RD LDN

• Psychiatry Physician in Halethorpe, MD
• Providers in Halethorpe, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.