WALTER S GILLIAM


Address: 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519
Phone: 2037852140

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
002137 CT Behavioral Health & Social Service Providers

Office Location

Street Address 800 HOWARD AVENUE
YALE PHYSICIANS BUILDING
City NEW HAVEN
State CT
Zip Code 06519

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

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
Find all providers in NEW HAVEN

Competitor

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City NEW HAVEN
Zip Code 06519

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Dataset Information

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.

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