Active NPI
Walter James Healey, M.D.
- Psychiatry Physician
- Provincetown, MA
National Provider Identifier
1477528628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 150216
- 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
- Last updated
- Jan 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 150216 | MA | Primary |
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150216 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gosnold, Inc. | Past | Accepting new patients | |
| Common Ground Counseling & Personal Growth Center, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294790400000",
"number": "1477528628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 RACE POINT ROAD",
"address_2": "UNIT B, GOSNOLD-THORNE COUNSELING",
"city": "PROVINCETOWN",
"state": "MA",
"postal_code": "02657",
"telephone_number": "508-487-2449",
"fax_number": "508-487-1921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 CONWELL ST",
"address_2": "GOSNOLD THORNE COUNSELING",
"city": "PROVINCETOWN",
"state": "MA",
"postal_code": "026571548",
"telephone_number": "508-487-2449",
"fax_number": "508-487-1921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALEY",
"first_name": "WALTER",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2011-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "150216",
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "MA",
"license": "150216",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provincetown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.