LAURA MARIE KIMBELL M.A., PSYD
NPI 1215277017
Psychologist in Oakland, CA

Active since February 15, 2013PECOS Enrolled
3900 BROADWAY, OAKLAND, CA 94611(510) 752-1075 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2026, Jan 3, 2022 (2 updates tracked since 2022).

About Laura Marie Kimbell M.a., Psyd NPPES

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

LAURA MARIE KIMBELL M.A., PSYD (NPI 1215277017) is an individual psychologist in Oakland, California, licensed in California (29480) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215277017
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameLAURA MARIE KIMBELLCredential: M.A., PSYD
Location Address3900 BROADWAYOakland, CA 94611-5616
Mailing Address3900 BroadwayOakland, CA 94611-5600 · (510) 752-1075
Sole ProprietorNo
Enumeration DateFebruary 15, 2013
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
NPI 1215277017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 29480
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

3900 BROADWAY, Oakland, CA 94611

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Laura Marie Kimbell M.a., Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
3900 BROADWAY
OAKLAND, CA 94611
Social Worker (Clinical)
3900 BROADWAY
OAKLAND, CA 94611
Psychiatry & Neurology (Psychiatry)
3900 BROADWAY
OAKLAND, CA 94611
Psychiatry & Neurology (Psychiatry)
3900 BROADWAY
OAKLAND, CA 94611
Marriage & Family Therapist
3900 BROADWAY
OAKLAND, CA 94611
Psychologist (Clinical)
3900 BROADWAY
OAKLAND, CA 94611
Social Worker (Clinical)
3900 BROADWAY, BLDG 2
OAKLAND, CA 94611
Social Worker (Clinical)
3900 BROADWAY
OAKLAND, CA 94611

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 Laura Kimbell's NPI number?

The NPI number for Laura Kimbell is 1215277017. It was assigned to this individual provider in the NPPES registry on February 15, 2013.

Where is Laura Kimbell located?

Laura Kimbell practices at 3900 Broadway, Oakland, CA 94611. The listed phone number is (510) 752-1075.

What is Laura Kimbell's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Laura Kimbell enrolled in Medicare?

Yes. Laura Kimbell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laura Kimbell was last updated on April 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.