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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TIMOTHY KENNEDY
NPI 1093649188
Day Training/Habilitation Specialist in San Luis Obispo, CA

Active since June 11, 2026
1255 KENDALL RD, SAN LUIS OBISPO, CA 93401(805) 781-3535 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy Kennedy NPPES

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

TIMOTHY KENNEDY (NPI 1093649188) is an individual day training/habilitation specialist in San Luis Obispo, California and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1093649188
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameTIMOTHY KENNEDY
Location Address1255 KENDALL RDSan Luis Obispo, CA 93401-8750
Mailing Address1255 Kendall RdSan Luis Obispo, CA 93401-8750
Phone(805) 781-3535
Sole ProprietorNo
Enumeration DateJune 11, 2026
Last NPPES UpdateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
✔ NPI 1093649188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

1255 KENDALL RD, San Luis Obispo, CA 93401
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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.

JOSE DE JESUS EULLOQUI
Counselor
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-3535
LILIANA VALENCIA LEMUS
Community Health Worker
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 550-6546
CALEDONIA VANDEN BOSSCHE
Counselor (Mental Health)
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-3535
VICTORIA LAUREN PARENTE
Counselor (Mental Health)
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-3535
TAMRA ANN DISON DE RIVAS
Rehabilitation Practitioner
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-3535
DARCI RENEE RICE LMFT
Marriage & Family Therapist
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 602-8550
LAUREN WILSON
Counselor (Mental Health)
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-3535
DESIREE RENEE TOLEDO
Counselor (Mental Health)
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-3535

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 Timothy Kennedy's NPI number?

The NPI number for Timothy Kennedy is 1093649188. It was assigned to this individual provider in the NPPES registry on June 11, 2026.

Where is Timothy Kennedy located?

Timothy Kennedy practices at 1255 Kendall Rd, San Luis Obispo, CA 93401. The listed phone number is (805) 781-3535.

What is Timothy Kennedy's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Timothy Kennedy was last updated on July 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.