Individual provider Active NPI

Cami Winkelspecht, PHD

  • Clinical Child & Adolescent Psychologist
  • Wilmington, DE
National Provider Identifier
1801003967
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
B1-0001103 Issued in DE
Practice address
1415 Foulk Rd Ste 107
Wilmington, DE 19803-2748
Phone
(334) 329-0513
Fax
(334) 329-0513
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 6554 OH
Clinical Child & Adolescent Psychologist 103TC2200X B1-0001103 DE Primary

Addresses

Primary practice location

1415 Foulk Rd Ste 107
Wilmington, DE 19803-2748

Mailing address

711 Foxdale Rd
Wilmington, DE 19803-1603
Phone (334) 329-0513

Other identifiers 1

IdentifierTypeStateIssuer
2846675MedicaidOH

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
B1-0001103DEMDClinical Child & Adolescent Psychologist
6554OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Child Psychology Solutions, LLC CurrentSince Aug 2, 2020 Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients

Locations

1415 Foulk Rd
Ste 107
Wilmington, DE 19803
Phone (334) 329-0513

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1801003967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 FOXDALE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031603",
            "telephone_number": "334-329-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 FOULK RD STE 107",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032748",
            "telephone_number": "334-329-0513",
            "fax_number": "334-329-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKELSPECHT",
        "first_name": "CAMI",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "6554",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "DE",
            "license": "B1-0001103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.