DANIEL MICHAEL KENNEDY


Address: 400 N Pepper Ave, Colton, CA 92324-1801
Phone: 9095803144

DANIEL MICHAEL KENNEDY (NPI# 1255687174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255687174
Entity Type Individual
Full Name DANIEL MICHAEL KENNEDY
Credential PT
Practice Address 400 N Pepper Ave
Colton
CA 92324-1801
Mailing Address 2779 28th St
Highland
CA 92346-1734
Practice Telephone 9095803144
Practice Fax Number 9095802165
Mailing Telephone 5038059465
Enumeration Date 2012-07-29
Last Update Date 2015-03-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician PT 32991 CA Nursing Service Providers

Other Providers DANIEL KENNEDY

NPI Name Taxonomy Address Enumeration
1316487044 Daniel Kennedy Nurse Practitioner 304 Northcreek Blvd, Suite 120, Goodlettsville, TN 37072-2096 2017-02-28
1073747507 Daniel Kennedy Counselor 65 Meadows Dr, Glassboro, NJ 08028-2424 2009-05-12
1447326590 Daniel O'neill Kennedy Registered Nurse 1432 Sultan Drive, Suite 100, Fort Detrick, MD 21702-5001 2006-11-28
1659446714 Daniel P Kennedy Chiropractor 214 W 29th St, Ste# 205, New York, NY 10001-5203 2006-11-22
1093809568 Daniel J Kennedy Internal Medicine 1637 Westshore St, Davis, CA 95616-2973 2006-10-02
1437678166 Daniel Patrick Kennedy Behavior Technician 41521 W 11 Mile Rd, Novi, MI 48375-1803 2017-09-13
1629512900 Daniel Kennedy Occupational Therapist 8559 N Line Creek Pkwy, Kansas City, MO 64154-2100 2016-12-06
1437560281 Daniel Kennedy Student in an Organized Health Care Education/Training Program 2500 N State St, Dept of Radiology, Jackson, MS 39216-4500 2014-05-14
1609133032 Daniel Bernard Kennedy Technician, Other 7300 Klawock Hollis Highway, Klawock, AK 99925 2012-04-23
1518267178 Daniel Lloyd Kennedy Dentist 300 Longwood Ave, Children's Hospital Boston - Department of Dentistry, Boston, MA 02115-5724 2010-10-29

Office Location

Street Address 400 N PEPPER AVE
City COLTON
State CA
Zip Code 92324-1801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790781169 Arrowhead Regional Medical Center General Acute Care Hospital 400 N Pepper Ave, Colton, CA 92324-1801 2005-06-21
1841891710 Hlahla Myet Thwe Nurse Practitioner 400 N Pepper Ave, Colton, CA 92324-1819 2020-11-05
1184224164 Tooyin A Owolabi Registered Nurse 400 N Pepper Ave, Colton, CA 92324-1801 2020-10-28
1154921138 Danny Teng Registered Nurse 400 N Pepper Ave, Colton, CA 92324-1801 2020-10-28
1043818370 Jeanne Emily Curtis Registered Nurse 400 N Pepper Ave, Colton, CA 92324-1801 2020-10-09
1891302071 Mary Suzanne Delahanty Registered Nurse 400 N Pepper Ave, Colton, CA 92324-1801 2020-09-30
1851905301 Magna Dyllis Ajube Registered Nurse 400 N Pepper Ave, Colton, CA 92324-1801 2020-09-02
1215540133 Tiffany Marie Bunting Registered Nurse 400 N Pepper Ave, Colton, CA 92324-1801 2020-08-29
1033729157 Radji Galang Registered Nurse 400 N Pepper Ave, Colton, CA 92324-1801 2020-08-04
1235747122 Emily Nguyen Shimamoto Physician Assistant 400 N Pepper Ave, Colton, CA 92324-1801 2020-07-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134739949 Ava Vascular Radiology 1281 W. C. Street, Suite 200, Colton, CA 92324 2020-08-06
1063042851 Making A Difference Association, Inc. Psychologist 1430 E Cooley Drive, Ste 111, Colton, CA 92324 2020-01-21
1326685488 Allstar Medical Respite and Recuperative Care Case Management 450 N Sperry Drive, Colton, CA 92324 2019-12-06
1558916379 Garfield Beach Cvs LLC Durable Medical Equipment & Medical Supplies 1010 North Pepper Ave, Colton, CA 92324 2019-08-08
1326692633 Kadi Lyn Pearce Licensed Practical Nurse 970 N. Latham St, Colton, CA 92324 2019-07-25
1184281966 Steven Andrew Cardoza Physician Assistant Armc, 400 N. Pepper Ave, Colton, CA 92324 2019-05-28
1528540952 Daniel Tochukwu Umah-mgborogwu Physician Assistant 400 N Pepper Ave, Ste 107, Coton, CA 92324 2018-09-01
1255826038 Cal Med Vascular Center LLC Clinic/Center 1281 W C St, Colton, CA 92324 2018-06-25
1891288072 A. Arroyo Lourenco Dds, Inc Dentist 827 W Valley Blvd., Colton, CA 92324 2018-06-12
1700396165 Emily Covington Registered Nurse 1550 E. Washington St., Ste 101, Colton, CA 92324 2017-10-11
Find all providers in zip 92324

Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245682988 Joseph Flores Licensed Psychiatric Technician 1690 Bordwell Ave, Colton, CA 92324-2305 2016-07-06
1659884310 Rickey Lee Corley Licensed Psychiatric Technician 400 N Pepper Ave, Colton, CA 92324-1801 2017-11-15
1356868772 Kamilah Koleszar Licensed Psychiatric Technician 400 N Pepper Ave, Colton, CA 92324-1801 2017-08-25
1033636451 Billy E Lucero Licensed Psychiatric Technician 400 N Pepper Ave, Colton, CA 92324-1801 2017-08-25
1487171294 Louise Lynn Cross Licensed Psychiatric Technician 400 N Pepper Ave, Colton, CA 92324-1801 2017-08-23
1346766813 Jesse O Ruacho Licensed Psychiatric Technician 400 N Pepper Ave, Colton, CA 92324-1801 2017-08-16
1245760644 Lauren R Wichhart Licensed Psychiatric Technician 400 N Pepper Ave, Colton, CA 92324-1801 2017-06-18
1275073819 Barbara Zermeno Velazquez Licensed Psychiatric Technician 400 N Pepper Ave, Colton, CA 92324-1801 2017-03-01
1598202970 Jacqueline Dizon Licensed Psychiatric Technician 400 N Pepper Ave, Colton, CA 92324-1801 2017-01-24
1295270809 Olivia Jones Licensed Psychiatric Technician 400 N Pepper Ave, Colton, CA 92324-1801 2017-01-05
Find all providers in COLTON

Competitor

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City COLTON
Zip Code 92324

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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