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MANNY BRICE KELLY LPT
NPI 1003479320
Licensed Psychiatric Technician in San Bernardino, CA

Active since April 22, 2019
1481 WINDSOR DR, SAN BERNARDINO, CA 92404(909) 361-6472(909) 203-7403 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manny Brice Kelly Lpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANNY BRICE KELLY LPT (NPI 1003479320) is an individual licensed psychiatric technician in San Bernardino, California, licensed in California (33817) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1003479320
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameMANNY BRICE KELLYCredential: LPT
Location Address1481 WINDSOR DRSan Bernardino, CA 92404-5416
Mailing Address2895 W Fairview DrRialto, CA 92377-3425 · (909) 435-5341
Phone(909) 361-6472
Fax(909) 203-7403
Sole ProprietorYes
Enumeration DateApril 22, 2019
✔ NPI 1003479320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · 33817
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.
1481 WINDSOR DR, San Bernardino, CA 92404
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YODIT T. ZERAI ASW 94206
Counselor (Mental Health)
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-6470
MISS ESTRELLA GUADALUPE MORENO
Social Worker
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-6470
JASMINE NELSON
Licensed Vocational Nurse
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-6470
HAZEL LYNETTE OROZCO
Social Worker
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-6470
AARON JAY LIM RN
Registered Nurse
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-6472
TRINITY M SHOFNER
Community Health Worker
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-6470
MRS. MAYRA YOLANDA MEDINA-MOTES
Student in an Organized Health Care Education/Training Program
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-6470
JASMINE SHAREE LIDDELL
Licensed Vocational Nurse
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-6470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manny Kelly's NPI number?

The NPI number for Manny Kelly is 1003479320. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Manny Kelly located?

Manny Kelly practices at 1481 Windsor Dr, San Bernardino, CA 92404. The listed phone number is (909) 361-6472.

What is Manny Kelly's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Manny Kelly was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.