DR. PATRICIA K KIMBEL (PSY.D.) – Clinical Psychologist, NPI 1790707610

DR. PATRICIA K KIMBEL (PSY.D.) is a healthcare provider. based in Gurnee, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. The NPI Number for DR. PATRICIA K KIMBEL (PSY.D.) is 1790707610

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. PATRICIA K KIMBEL (PSY.D.)
NPI
1790707610
Phone
(773) 490-7778
Address
15 TOWER CT
Enumeration Date
24 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7734907778
Graduation Year
1998 (28 years ago)
PAC ID
8628036506
Professional Enrollment ID
I20041222000819
Address ID
IL600483773LI1580XAVEX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. PATRICIA K KIMBEL (PSY.D.)

  • 15, Tower Court, Gurnee, Lake, Illinois, 60031, United States

    SUITE 245

    GURNEE, IL 600313336

    Phone: (773) 490-7778

    Fax: (847) 360-2728

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041222000819IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60031)

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Reviews

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Frequently asked questions

What number should I use to identify DR. PATRICIA K KIMBEL (PSY.D.) for billing?
Administrative and clinical systems typically use NPI 1790707610 for DR. PATRICIA K KIMBEL (PSY.D.).
Should I treat DR. PATRICIA K KIMBEL (PSY.D.) as an active provider?
Patients and plans typically see DR. PATRICIA K KIMBEL (PSY.D.) as active in the national extract.
What services align with DR. PATRICIA K KIMBEL (PSY.D.)'s listing?
DR. PATRICIA K KIMBEL (PSY.D.)'s public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. PATRICIA K KIMBEL (PSY.D.)?
DR. PATRICIA K KIMBEL (PSY.D.) is associated with Gurnee, Illinois in the same public data insurers reference.
Why is information missing for DR. PATRICIA K KIMBEL (PSY.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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