Matthew Willis, MD, MPH
NPI 1912125345 · Child & Adolescent Psychiatry Physician · Providence, RI
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Willis, MD, MPH is a Child & Adolescent Psychiatry Physician provider in Providence, RI (NPI 1912125345).
Provider details
- NPI number
- 1912125345
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- License
- MD13403 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1011 Veterans Memorial PkwyRiverside, RI 02915-5061Phone: (401) 432-1000Fax: (401) 432-1500
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2026-03-12
- Certified
- 2026-03-12
Frequently asked questions
- What is Matthew Willis's NPI number?
- Matthew Willis's National Provider Identifier (NPI) is 1912125345, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Willis's specialty?
- Matthew Willis is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Willis located?
- Matthew Willis's practice location on file with NPPES is 593 Eddy St, Providence, RI 02903-4923.
- What is Matthew Willis's phone number?
- The practice phone number listed in the NPPES registry for Matthew Willis is (401) 444-4515.
- Does Matthew Willis accept Medicare?
- Matthew Willis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Willis's NPI active?
- Yes — Matthew Willis's NPI (1912125345) is active in the NPPES registry as of the last update on 2026-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.