1. Home
  2. Directory
  3. Minnesota
  4. Woodbury
  5. Psychologist
  6. NPI Profile

DR. RENEE MARIE PENTICOFF PSY.D.
NPI 1962506493
Psychologist - Clinical in Woodbury, MN

Active since September 13, 2006
1818 WOODDALE DR, SUITE 204, WOODBURY, MN 55125(651) 255-6678(651) 501-6091 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Renee Marie Penticoff Psy.d. NPPES

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

DR. RENEE MARIE PENTICOFF PSY.D. (NPI 1962506493) is an individual clinical provider in Woodbury, Minnesota, licensed in Minnesota (LP 4060) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1962506493
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. RENEE MARIE PENTICOFFCredential: PSY.D.
Location Address1818 WOODDALE DR, SUITE 204Woodbury, MN 55125-2940
Mailing AddressPo Box 25334Woodbury, MN 55125-0334 · (651) 255-6678 · Fax (651) 501-6091
Phone(651) 255-6678
Fax(651) 501-6091
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962506493 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 MN · LP 4060
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.
1818 WOODDALE DR, Woodbury, MN 55125
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

RENEWAL COUNSELING SERVICES, INC.
Community/Behavioral Health
1818 WOODDALE DR, STE 204
WOODBURY, MN 55125
Washington County (651) 775-5693
POESCHEL CHIROPRACTIC PSC
Chiropractor
1818 WOODDALE DR, STE #100
WOODBURY, MN 55125
Washington County (651) 756-7380

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 Renee Penticoff's NPI number?

The NPI number for Renee Penticoff is 1962506493. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Renee Penticoff located?

Renee Penticoff practices at 1818 Wooddale Dr Suite 204, Woodbury, MN 55125. The listed phone number is (651) 255-6678.

What is Renee Penticoff'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 Renee Penticoff was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.