Walter James Healey, M.D.
Individual provider Active NPI Psychiatry Physician · Provincetown, MA
NPI 1477528628 · NPPES record last updated Jan 12, 2011
Key facts
- NPI
- 1477528628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 150216 (MA)
- Practice address
- 30 Conwell St
Gosnold Thorne Counseling
Provincetown, MA 02657-1548 - Phone
- (508) 487-2449
- Fax
- (508) 487-1921
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150216 | MA | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Common Ground Counseling & Personal Growth Center, LLC | Past | Accepting new patients | |
| Gosnold, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 150216 | MA | Yes |
| Geriatric Psychiatry Physician | 2084P0805X | 150216 | MA |
Addresses
Primary practice location
30 Conwell St
Gosnold Thorne Counseling
Provincetown, MA 02657-1548
Mailing address
43 Race Point Road
Unit B, Gosnold-Thorne Counseling
Provincetown, MA 02657
Phone (508) 487-2449
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5293582 | Other | MA | AETNA |
| 150216 | Other | MA | TUFTS |
| 15512200 | Other | MA | MAGELLAN |
| 3165540 | Medicaid | MA | |
| J18180 | Other | MA | BLUE CROSS |
| 260037303 | Other | MA | UNITED HEALTHCARE |
| 4383-01 | Other | MA | PACIFICARE |
Other providers in Provincetown, MA
- John R Graves
- Harbor Dental Associates P.C.
- Harbor Health Services, Inc.
- Mahrya Katrinka Hart
- Kristin C. Hatch
- Donna Kathreen Heitzman
- Michael Sentman Henderson
- Mary Ellen Henry
- Mary Ann Hibino
- Honest Pharmacist Inc
All providers in Provincetown, MA · Psychiatry Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.