Walter Eugene Goldwater, MD
Individual provider Active NPI Psychiatry Physician · Hadlen, MA
NPI 1720133655 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1720133655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 43014 (MA)
- Practice address
- 108 Russel St
Hadlen, MA 01035-9546 - Phone
- (413) 549-7990
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Columbia University College of Physicians and Surgeons, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
108 Russell St
Hadley, MA 01035-9595
Phone (413) 549-7990
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050926001021 | MA | Practitioner - Psychiatry | 0941234249 | Practice locations: Hadley, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute of Human Solutions LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | 43014 | MA | |
| Psychiatry Physician | 2084P0800X | 43014 | MA | Yes |
Addresses
Primary practice location
108 Russel St
Hadlen, MA 01035-9546
Mailing address
9 Forest Edge Road
Amherst, MA 01002-1533
Phone (413) 549-7990
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149934 | Medicaid | MA |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.