Active NPI
Alexandra Chinks, PSY.D.
- Clinical Psychologist
- Wellesley, MA
National Provider Identifier
1336372929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10353
- Practice address
- 40 Washington St Ste 30
Wellesley, MA 02481-1807 - Phone
- (617) 863-6767
- NPI assigned
- Aug 28, 2009
- Last updated
- Dec 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10353 | MA | Primary |
Addresses
Primary practice location
40 Washington St Ste 30
Wellesley, MA 02481-1807
Mailing address
40 Washington St Ste 30
Wellesley, MA 02481-1807
Phone (617) 863-6767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10353 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1336372929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 WASHINGTON ST STE 30",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024811807",
"telephone_number": "617-863-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 WASHINGTON ST STE 30",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024811807",
"telephone_number": "617-863-6767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINKS",
"first_name": "ALEXANDRA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-28",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.