NPIMap

Organization Active NPI

Port Recovery Iop Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nottingham, MD
National Provider Identifier
1528522901
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PORT RECOVERY IOP INC.
Practice address
8615 Ridgelys Choice Dr Ste 205
Nottingham, MD 21236-3028
Phone
(443) 869-4909
Fax
(443) 869-4928
NPI assigned
Jan 30, 2019
Last updated
Jun 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Matthew Finley
Title
Executive Director
Phone
(443) 869-4909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

8615 Ridgelys Choice Dr Ste 205
Nottingham, MD 21236-3028

Mailing address

8615 Ridgelys Choice Dr Ste 205
Nottingham, MD 21236-3028
Phone (443) 869-4909

Other identifiers 1

IdentifierTypeStateIssuer
907451100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Port Recovery Iop Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1528522901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 RIDGELYS CHOICE DR STE 205",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363028",
            "telephone_number": "443-869-4909",
            "fax_number": "443-869-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 RIDGELYS CHOICE DR STE 205",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363028",
            "telephone_number": "443-869-4909",
            "fax_number": "443-869-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT RECOVERY IOP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "FINLEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-869-4909"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "907451100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.