Provider Demographics
NPI:1356448831
Name:ADKINS, AMBER N (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:N
Last Name:ADKINS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 WADSWORTH BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80123-1358
Mailing Address - Country:US
Mailing Address - Phone:720-370-9593
Mailing Address - Fax:720-400-8556
Practice Address - Street 1:4045 WADSWORTH BLVD
Practice Address - Street 2:STE 100
Practice Address - City:WADSWORTH
Practice Address - State:CO
Practice Address - Zip Code:80123-1358
Practice Address - Country:US
Practice Address - Phone:720-370-9593
Practice Address - Fax:720-400-8556
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-19
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3525103TC0700X
IL071-007087103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO3525OtherPROFESSIONAL LICENSE
CO24637335Medicaid