Matthew Dean Willis
MD, MPH | Psychiatry | Child & Adolescent
593 Eddy St, Pob 122, Providence
Rhode Island, 02903-4923
401-444-4515 401-444-7018
Maps & DirectionsMatthew Dean Willis is a Providence, Rhode Island based psychiatrist who is specialized in Child & Adolescent. Active license number of Matthew Dean Willis is MD13403 for Child & Adolescent in Rhode Island. His current practice location is 593 Eddy St, Pob 122, Providence. Patients can reach him at 401-444-4515 or can fax him at 401-444-7018. Matthew Dean Willis is MD, MPH in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1912125345.
Matthew Dean Willis has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Matthew Dean Willis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Matthew Dean Willis |
| Specialization: | Child & Adolescent |
| Gender: | Male |
| Credentials: | MD, MPH |
| Practice Address: | 593 Eddy St, Pob 122, Providence,
Rhode Island, 02903-4923 |
| Phone: | 401-444-4515 |
| Fax: | 401-444-7018 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1912125345 |
| NPI Enumeration Date: | 23 Apr, 2007 |
| NPI Last Update On: | 25 Mar, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew Dean Willis are as mentioned below.
| License Number | Specialization | State | Status | |
| MD13403 | Child & Adolescent | Rhode Island | Primary | |
| MD13403 | Psychiatry | Rhode Island | Secondary | |
| MD13403 | Pediatrics | Rhode Island | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Matthew Dean Willis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| MD13403 | Other | Rhode Island | MEDICAL LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Matthew Dean Willis
593 Eddy St, Potter 3
Providence, Rhode Island |
| Zip: | 02903-4923 |
| Phone Number: | 401-444-4318 |
| Fax Number: | 401-444-6573 |
Patients can reach Matthew Dean Willis at
593 Eddy St, Pob 122, Providence, Rhode Island or can
call to book an appointment on 401-444-4515.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.