DANIEL MICHAEL KENNEDY PT
NPI 1255687174
Licensed Psychiatric Technician in Colton, CA

Active since July 29, 2012
400 N PEPPER AVE, COLTON, CA 92324(909) 580-3144(909) 580-2165 Get Directions Write a Review

NPPES record last updated: March 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daniel Michael Kennedy Pt NPPES

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

DANIEL MICHAEL KENNEDY PT (NPI 1255687174) is an individual licensed psychiatric technician in Colton, California, licensed in California (PT 32991) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1255687174
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameDANIEL MICHAEL KENNEDYCredential: PT
Location Address400 N PEPPER AVEColton, CA 92324-1801
Mailing Address2779 28th StHighland, CA 92346-1734 · (503) 805-9465
Fax(909) 580-2165
Sole ProprietorNo
Enumeration DateJuly 29, 2012
Last NPPES UpdateMarch 18, 2015
NPI 1255687174 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 · PT 32991
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.
400 N PEPPER AVE, Colton, CA 92324

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.

Licensed Psychiatric Technician
400 N PEPPER AVE
COLTON, CA 92324
Registered Nurse (Psychiatric/Mental Health)
400 N PEPPER AVE
COLTON, CA 92324
General Acute Care Hospital
400 N PEPPER AVE
COLTON, CA 92324
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
Student in an Organized Health Care Education/Training Program
400 N PEPPER AVE
COLTON, CA 92324
Otolaryngology
400 N PEPPER AVE, MOB SUITE 308
COLTON, CA 92324

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 Daniel Kennedy's NPI number?

The NPI number for Daniel Kennedy is 1255687174. It was assigned to this individual provider in the NPPES registry on July 29, 2012.

Where is Daniel Kennedy located?

Daniel Kennedy practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-3144.

What is Daniel Kennedy'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 Daniel Kennedy was last updated on March 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.