Matthew Patrick Walsh

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

38095 Issued in NY

Practice address

135 S Broadway
Saratoga Springs, NY 12866-4532

Phone

(518) 584-9030

NPI assigned

Sep 30, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saratoga County

  • Community/Behavioral Health Agency
  • Saratoga Springs, NY
  • NPI 1700912367
  NPD
• Saratoga County

  • Home Health Agency
  • Saratoga Springs, NY
  • NPI 1497752158
  NPD (past)

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1316765100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 OAKBROOK CMNS BLDG 15",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652680",
            "telephone_number": "518-818-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S BROADWAY",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664532",
            "telephone_number": "518-584-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MATTHEW",
        "middle_name": "PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "38095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens # 10384)
• Walgreen Co (Rite Aid)
• Barbara Elizabeth Wall, MHC
• Colleen Healy Walsh, PSY. D.
• James P Walsh, DDS
• Qiong Wang, MD
• Timothy J Ward, RPA-C
• Courtney Jill Warner, M.D.
• Christopher John Wasacz, PA-C
• Lesley Waters, NYS LMT

• Addiction (Substance Use Disorder) Counselor in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.