Active NPIIndividual provider

Walter S Gilliam, PHD

Psychologist, Clinical Child & Adolescent in New Haven, Connecticut

NPI Number1588623938
Practice location
800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519
Fax
203-785-6414
Last updated
July 13, 2026

Walter S Gilliam is a Psychologist, Clinical Child & Adolescent based in New Haven, CT. Walter S Gilliam practices in New Haven, CT and has the professional credentials of PHD. The NPI Number for Walter S Gilliam is 1588623938 and holds a License No. 002137 (CT). The current practice location address for Walter S Gilliam is 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 and can be reached out via phone at 203-785-2140 and via fax at 203-785-6414.

Provider Profile Details

NPI Number
1588623938
Provider Name
Walter S Gilliam
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519
Phone Number
203-785-2140
Fax Number
203-785-6414
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 Howard Avenue
Yale Physicians Building
New Haven, CT 06519
Zip
06519
Phone Number
203-785-2140
Fax Number
203-785-6414
New Haven, CT 06519Get directions →

Provider Business Mailing Address Details

Address
Po Box 9805
300 George Street, 6TH Floor
New Haven, CT 06536-0805
City
New Haven
State
CT
Zip
06536-0805
Phone Number
203-785-7998
Fax Number
203-785-6414

License Information

License Number
002137
License State
CT
Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Walter S Gilliam, PHD?

The NPI number of Walter S Gilliam, PHD is 1588623938. It was assigned on March 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Walter S Gilliam, PHD?

Walter S Gilliam, PHD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in CT under license number 002137.

Where does Walter S Gilliam, PHD practice?

The practice location is 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519. The office can be reached at 203-785-2140 (phone) or 203-785-6414 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588623938 directly on the NPPES registry website.

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