Active NPI
Kimberly Breidel, PHD
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1003129479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY29169
- Practice address
- 680 E Colorado Blvd Ste 180
Pasadena, CA 91101-6144 - Phone
- (650) 719-1781
- NPI assigned
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY29169 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
680 E Colorado Blvd Ste 180
Pasadena, CA 91101-6144
Mailing address
600 Baltic Cir Unit 634
Redwood City, CA 94065-2257
Phone (650) 719-1781
Other practice location 1
1400 Veterans Blvd
Redwood City, CA 94063-2612
Phone (650) 299-4777
Other names 1
- Kimberly Levit
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29169 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1003129479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 BALTIC CIR UNIT 634",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940652257",
"telephone_number": "650-719-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 E COLORADO BLVD STE 180",
"city": "PASADENA",
"state": "CA",
"postal_code": "911016144",
"telephone_number": "650-719-1781"
}
],
"practiceLocations": [
{
"address_1": "1400 Veterans Blvd",
"address_purpose": "LOCATION",
"city": "Redwood City",
"state": "CA",
"postal_code": "940632612",
"country_code": "US",
"telephone_number": "650-299-4777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREIDEL",
"first_name": "KIMBERLY",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY29169",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "LEVIT",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.