Active NPI
Matthew Klein, MA, NCSP
- School Psychologist
- Baltimore, MD
National Provider Identifier
1689456345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 16-7458
- Practice address
- 6009 Western Run Dr
Baltimore, MD 21209-4007 - Phone
- (443) 474-4019
- NPI assigned
- Oct 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 16-7458 | MD | Primary |
Addresses
Primary practice location
6009 Western Run Dr
Baltimore, MD 21209-4007
Mailing address
6009 Western Run Dr
Baltimore, MD 21209-4007
Phone (443) 474-4019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16-7458 | MD | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1689456345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6009 WESTERN RUN DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212094007",
"telephone_number": "443-474-4019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6009 WESTERN RUN DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212094007",
"telephone_number": "443-474-4019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "MATTHEW",
"credential": "MA, NCSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-17",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MD",
"license": "16-7458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.