IndividualActive
Renee Penticoff, PSY.D.
NPI 1962506493 · Clinical Psychologist · Woodbury, MN
Renee Penticoff, PSY.D. is a Clinical Psychologist provider in Woodbury, MN (NPI 1962506493).
Provider details
- NPI number
- 1962506493
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- No
- License
- LP 4060 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1818 Wooddale Dr
Suite 204
Woodbury, MN 55125-2940
Phone: (651) 255-6678
Fax: (651) 501-6091
Street-level locationGet directions
Mailing address
Po Box 25334
Woodbury, MN 55125-0334
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2007-07-08
Frequently asked questions
- What is Renee Penticoff's NPI number?
- Renee Penticoff's National Provider Identifier (NPI) is 1962506493, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Renee Penticoff's specialty?
- Renee Penticoff is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Renee Penticoff located?
- Renee Penticoff's practice location on file with NPPES is 1818 Wooddale Dr, Woodbury, MN 55125-2940.
- What is Renee Penticoff's phone number?
- The practice phone number listed in the NPPES registry for Renee Penticoff is (651) 255-6678.
- Is Renee Penticoff's NPI active?
- Yes — Renee Penticoff's NPI (1962506493) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.