Active NPI
Cami Winkelspecht, PHD
- Clinical Child & Adolescent Psychologist
- Wilmington, DE
National Provider Identifier
1801003967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- B1-0001103
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2846675 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| B1-0001103 | DE | MD | Clinical Child & Adolescent Psychologist |
| 6554 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Psychology Solutions, LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Wilmington, DE
- NPI 1528677861
-
- Dental Clinic/Center
- Columbus, OH
- NPI 1407013964
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.