WALTER S GILLIAM (NPI# 1588623938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588623938 |
Entity Type | Individual |
Full Name | WALTER S GILLIAM |
Credential | PHD |
Practice Address |
800 Howard Avenue Yale Physicians Building New Haven CT 06519 |
Mailing Address |
Po Box 9805 300 George Street, 6th Floor New Haven CT 06536-0805 |
Practice Telephone | 2037852140 |
Practice Fax Number | 2037856414 |
Mailing Telephone | 2037857998 |
Mailing Fax Number | 2037856414 |
Enumeration Date | 2006-03-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
002137 | CT | Behavioral Health & Social Service Providers |
Street Address |
800 HOWARD AVENUE YALE PHYSICIANS BUILDING |
City | NEW HAVEN |
State | CT |
Zip Code | 06519 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568450641 | Michael S Remetz | Internal Medicine | 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 | 2005-10-12 |
1841832391 | Alix Rebecca Wilder | Registered Nurse | 800 Howard Avenue, New Haven, CT 06519 | 2019-10-16 |
1174052682 | Logan Petit | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Ybp 133, New Haven, CT 06520 | 2017-06-08 |
1295266112 | Matthew Pichert | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Yale Physicians Building 2nd Floor, New Haven, CT 06511 | 2017-03-22 |
1598799157 | Robert M. Milstein | Psychiatry & Neurology | 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 | 2006-07-10 |
1295768166 | Elizabeth Wootton | Physician Assistant | 800 Howard Avenue, Yale New Haven Hospital, New Haven, CT 06519 | 2006-07-07 |
1801851936 | Kristaps J Keggi | Orthopaedic Surgery | 800 Howard Avenue, New Haven, CT 06520-8071 | 2006-04-20 |
1003885773 | Calin Gorun-gorunescu | Anesthesiology | 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 | 2006-03-15 |
1205809068 | Albert Carl Weihl II | Emergency Medicine | 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 | 2006-02-10 |
1275506537 | Lawrence Anthony Vitulano | Psychologist | 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 | 2006-02-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
Find all providers in zip 06519 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235730912 | Chelsea Morgan | Psychologist | 300 George St Ste 900, New Haven, CT 06511-6660 | 2020-11-08 |
1992056675 | New Connection Inc | Psychologist | 446 Blake St # 200a, New Haven, CT 06515-1286 | 2012-09-21 |
1619100708 | Christine Dauser | Psychologist | 230 South Frontage Rd, New Haven, CT 06520-7900 | 2009-08-24 |
1952547218 | David Paul Hoffman | Psychologist | 12 Trumbull Street, 2nd Floor, New Haven, CT 06511 | 2008-12-16 |
1487790531 | Gary Racusin | Psychologist | 59 Elm St Ste 320, New Haven, CT 06510-2047 | 2007-01-29 |
1164055935 | Dana Marie Allswede | Psychologist | 350 George St, New Haven, CT 06511-6617 | 2020-02-19 |
1477186302 | Joanna Hurley | Psychologist | 350 George St, New Haven, CT 06511-6617 | 2020-02-19 |
1588126379 | Monica Barreto | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2019-04-02 |
1457812455 | Kimberly Ho Misiaszek | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2019-03-31 |
1417418708 | Laura Anderson Kirby | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2019-03-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.