Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Dean Willis, MD, MPH

Individual provider Child & Adolescent Psychiatry Physician · NPI 1912125345

Matthew Dean Willis, MD, MPH is a Child & Adolescent Psychiatry Physician in Providence, Rhode Island. Works from 2 locations. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

See every abbreviation used in this directory →

Practice location Address checks out

593 Eddy St Pob 122
Providence, RI 02903-4923
Phone: (401) 444-4515
Fax: (401) 444-7018
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 — (401) 432-1000

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence MD13403 (RI)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD13403 (RI)
Pediatrics Physician Taxonomy 208000000X · Licence MD13403 (RI)

Record details

NPI number1912125345
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedApril 23, 2007
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing address593 Eddy St, Potter 3, Providence, RI 02903-4923

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