Walter Mathis (NPI# 1083975577, PAC ID# 8022334671) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1083975577 |
| PAC ID by PECOS | 8022334671 |
| Professional Enrollment ID | I20170619002602 |
| Full Name | Walter Mathis |
| Organization Legal Name | STATE OF CONNECTICUT |
| Address |
34 Park St Suite 142 New Haven CT 06519-1109 |
| Phone Number | 2039747417 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 8022915677 |
| Number of Group Practice Members | 269 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070025 | HARTFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 34 Park St, Suite 142, New Haven, CT 06519-1109 | 2039747417 | STATE OF CONNECTICUT |
| Organization Legal Name | STATE OF CONNECTICUT |
| Physicians | 339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory G Decandia | Family Medicine | State of Connecticut | 1635 Central Ave, Bridgeport, CT 06610-2717 |
| Aryeh I Herman | Psychologist, Clinical | State of Connecticut | 1669 Thomaston Ave, Waterbury, CT 06704-1026 |
| Samantha R Smalls | Clinical Social Worker | State of Connecticut | 51 Coventry St, Hartford, CT 06112-1525 |
| Amy M Boccaccio | Clinical Social Worker | State of Connecticut | 55 W Main St, 410 Western Connecticut Mental Health N, Waterbury, CT 06702-5524 |
| Charlene A Snipes | Clinical Social Worker | State of Connecticut | 500 Vine St, Hartford, CT 06112-1639 |
| Joanne E Comstock | Psychologist, Clinical | State of Connecticut | 1000 Silver St, Middletown, CT 06457-3940 |
| Peter G Gasparo | Psychiatry | State of Connecticut | 249 Winsted Rd Fl, 3 Western Ct Mental Health Network, Torrington, CT 06790-2958 |
| Nancy H Wang D'amato | Nurse Practitioner | State of Connecticut | 78 Triangle St, Bldg 14, Danbury, CT 06810-6977 |
| Vinod H Srihari | Psychiatry | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Tammy L Andrews | Clinical Social Worker | State of Connecticut | 95 Thomaston Ave, Waterbury, CT 06702-1007 |
| Street Address |
34 PARK ST SUITE 142 |
| City | NEW HAVEN |
| State | CT |
| Zip | 06519-1109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vinod H Srihari | Psychiatry | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Laurel M Edwards | Psychologist, Clinical | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Francis J Coppola Iii | Clinical Social Worker | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Manuel Paris | Psychologist, Clinical | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Carolyn Okeefe | Clinical Social Worker | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Jeanne Mignon Leblanc | Clinical Social Worker | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Cenk Tek | Psychiatry | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Magalis Sandoval | Clinical Social Worker | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Stuart J Sokol | Psychologist, Clinical | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Maria Carranza | Clinical Social Worker | State of Connecticut | 34 Park St, Suite 142, New Haven, CT 06519-1109 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Mecca | Geriatric Psychiatry | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| Robert A. Wiznia | Ophthalmology | 850 Howard Ave, New Haven, CT 06519-1106 | |
| Alessandra M Capobianco | Geriatric Medicine | Northeast Medical Group Inc | 874 Howard Ave, New Haven, CT 06519-1106 |
| Jennifer Andreozzi Ouellet | Geriatric Medicine | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| James Lai | Internal Medicine | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| Christopher H. Vandyck | Psychiatry | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| Gregory Ouellet | Geriatric Medicine | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| Michelle A Cox | Nurse Practitioner | Northeast Medical Group Inc | 874 Howard Ave, New Haven, CT 06519-1106 |
| Thao T Nguyen | Nurse Practitioner | Northeast Medical Group Inc | 874 Howard Ave, New Haven, CT 06519-1106 |
| Brienne Miner | Geriatric Medicine | Yale University | 874 Howard Ave, New Haven, CT 06519-1106 |
| Find all physicians in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| Specialty | PSYCHIATRY |
| City + Specialty | NEW HAVEN + PSYCHIATRY |
Please comment or provide details below to improve the information on Walter Mathis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.