DR. GWENDOLYN J CHILDS M.A., PSY.D.
NPI 1639235799
Psychologist - Clinical in Stone Mountain, GA

Active since December 30, 2006
1012 MAIN ST, STONE MOUNTAIN, GA 30083(770) 498-2865(770) 498-8865 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gwendolyn J Childs M.a., Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GWENDOLYN J CHILDS M.A., PSY.D. (NPI 1639235799) is an individual clinical provider in Stone Mountain, Georgia, licensed in Georgia (PSY001808) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1639235799
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GWENDOLYN J CHILDSCredential: M.A., PSY.D.
Location Address1012 MAIN STStone Mountain, GA 30083-2944
Mailing Address462 Watson BayStone Mountain, GA 30087-6198 · (770) 413-1765 · Fax (770) 498-8865
Fax(770) 498-8865
Sole ProprietorYes
Enumeration DateDecember 30, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1639235799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in GA · PSY001808
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1012 MAIN ST, Stone Mountain, GA 30083

Other Identifiers 5

Other280737000GA · Psychological Service
Other10062758GA · Psychological Service
Medicare ID-Type Unspecified68BBDMJGA · Psychological Service
Other582256356GA · Psychological
Medicaid000626381CGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwendolyn Childs's NPI number?

The NPI number for Gwendolyn Childs is 1639235799. It was assigned to this individual provider in the NPPES registry on December 30, 2006.

Where is Gwendolyn Childs located?

Gwendolyn Childs practices at 1012 Main St, Stone Mountain, GA 30083. The listed phone number is (770) 498-2865.

What is Gwendolyn Childs's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Gwendolyn Childs was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.