Phyllis Denise Pennington-Kent, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY16557 Issued in CA

Practice address

1201 Solano Ave Ste 201B
Albany, CA 94706-1753

Phone

(510) 303-0630

Fax

(510) 234-1982

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Phyllis Denise Pennington Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1336251677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SOLANO AVE STE 201B",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061753",
            "telephone_number": "510-303-0630",
            "fax_number": "510-524-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SOLANO AVE STE 201B",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061753",
            "telephone_number": "510-303-0630",
            "fax_number": "510-234-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON-KENT",
        "first_name": "PHYLLIS",
        "middle_name": "DENISE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY16557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "PENNINGTON",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maya Pandurangi, D.O
• Julie M. Patrusky, PH.D.
• Nadine Michele Payn, PHD
• Linda Pazdirek, MFT
• Sharon Elaine Pelle
• Karen E Peters, N.D.
• Diane Peterson
• Katharine Peterson, M.D., MPH
• Mae Lin Guo Yi Petti, MSW
• Devin Peyton

• Psychologist in Albany, CA
• Providers in Albany, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.