Individual
MATTHEW DEAN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
593 EDDY ST, POB 122, PROVIDENCE, RI 02903-4923
(401) 444-4515
(401) 444-7018
Mailing address
593 EDDY ST, POTTER 3, PROVIDENCE, RI 02903-4923
(401) 444-4318
(401) 444-6573
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD13403
RI
2084P0800X
Psychiatry Physician
MD13403
RI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD13403
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD13403
MEDICAL LICENSE
RI
Enumeration date
04/23/2007
Last updated
03/12/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us