Amber Wimsatt Childs, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0003495 Issued in CT

Practice address

45 S Main St Ste 107
West Hartford, CT 06107

Phone

(860) 785-0870

NPI assigned

Aug 31, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1306392089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S MAIN ST STE 107",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072402",
            "telephone_number": "860-785-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S MAIN ST STE 107",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "06107",
            "telephone_number": "860-785-0870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Hebron Ave",
            "address_2": "Suite # 217",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060332176",
            "country_code": "US",
            "telephone_number": "860-659-2697",
            "fax_number": "860-659-3468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "AMBER",
        "middle_name": "WIMSATT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CT",
            "license": "0003495",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "0003495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Chekas
• Wesley Cheng, DPT
• Joshi Babu Cherian
• Deanna Marie Cherrone, M.D.
• Brenna Chiaputti, LCSW
• Elizabeth Ejimnkeonye Chime-Udeh, PHARM.D.
• Krishan Chirimunj, MD
• Elizabeth Cipes Chisholm, D.M.D
• Ami V Chokshi, NBC-HWC
• Chris Carson Marriage & Family Therapy, LLC

• Clinical Psychologist in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.