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DR. KIMBERLY ZOE PENTEL PH.D.
NPI 1023777406
Psychologist - Clinical in Seattle, WA

Active since December 13, 2021Opted out of Medicare · through May 29, 2027
1505 WESTLAKE AVE N, SEATTLE, WA 98109(206) 386-3103 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kimberly Zoe Pentel Ph.d. NPPES

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

DR. KIMBERLY ZOE PENTEL PH.D. (NPI 1023777406) is an individual clinical provider in Seattle, Washington, licensed in Washington (PY61124096) and active in the NPI registry since December 2021. She has opted out of Medicare through May 29, 2027.

NPPES Registry Identity

NPI1023777406
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KIMBERLY ZOE PENTELCredential: PH.D.
Location Address1505 WESTLAKE AVE NSeattle, WA 98109-3050
Mailing Address2143 Wildflower WayBellingham, WA 98229-5366 · (763) 218-6971
Phone(206) 386-3103
Sole ProprietorNo
Enumeration DateDecember 13, 2021
NPPES CertifiedDecember 13, 2021
✔ NPI 1023777406 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 WA · PY61124096
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.
1505 WESTLAKE AVE N, Seattle, WA 98109
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kimberly Zoe Pentel Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 29, 2025 through May 29, 2027.

Opt-Out Effective DateMay 29, 2025
Opt-Out In Effect ThroughMay 29, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEATTLE REPRODUCTIVE SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
1505 WESTLAKE AVE N, SUITE 400
SEATTLE, WA 98109
King County (206) 301-5000
DR. NANCY A KLEIN M.D.
Specialist
1505 WESTLAKE AVE N, #400
SEATTLE, WA 98109
King County (206) 301-5000
SEATTLE REPRODUCTIVE MEDICINE
Obstetrics & Gynecology (Reproductive Endocrinology)
1505 WESTLAKE AVE N, SUITE 400
SEATTLE, WA 98109
King County (206) 301-5000
DR. PAUL SHERMAN DUDLEY M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
1505 WESTLAKE AVE N, SUITE 400
SEATTLE, WA 98109
King County (206) 301-5000
DR. PAUL C LIN M.D.
Specialist
1505 WESTLAKE AVE N, #400
SEATTLE, WA 98109
King County (206) 417-2120
DR. AMY R CRINITI M.D.
Specialist
1505 WESTLAKE AVE N, #400
SEATTLE, WA 98109
King County (206) 301-5000
DR. MICHEAL R SOULES M.D.
Specialist
1505 WESTLAKE AVE N, #400
SEATTLE, WA 98109
King County (206) 301-5000
MS. MICHELE JINYOUNG CHO MD
Student in an Organized Health Care Education/Training Program
1505 WESTLAKE AVE N, SUITE 400
SEATTLE, WA 98109
King County (206) 301-5000

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 Kimberly Pentel's NPI number?

The NPI number for Kimberly Pentel is 1023777406. It was assigned to this individual provider in the NPPES registry on December 13, 2021.

Where is Kimberly Pentel located?

Kimberly Pentel practices at 1505 Westlake Ave N, Seattle, WA 98109. The listed phone number is (206) 386-3103.

What is Kimberly Pentel's specialty?

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

Is Kimberly Pentel enrolled in Medicare?

No. Kimberly Pentel has opted out of Medicare through May 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimberly Pentel was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.