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LANCE KENNEDY
NPI 1316792856
Community/Behavioral Health in San Bernardino, CA

Active since April 18, 2024
5500 UNIVERSITY PKWY, SAN BERNARDINO, CA 92407(909) 537-5495 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lance Kennedy NPPES

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

LANCE KENNEDY (NPI 1316792856) is an individual community/behavioral health provider in San Bernardino, California, licensed in California (P70877) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1316792856
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameLANCE KENNEDY
Location Address5500 UNIVERSITY PKWYSan Bernardino, CA 92407-2318
Mailing Address5500 University PkwySan Bernardino, CA 92407-2318 · (909) 537-5495
Phone(909) 537-5495
Sole ProprietorYes
Enumeration DateApril 18, 2024
NPPES CertifiedApril 18, 2024
✔ NPI 1316792856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CA · P70877
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
5500 UNIVERSITY PKWY, San Bernardino, CA 92407
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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.

MAKAYLA ANDERSON
Behavior Technician
5500 UNIVERSITY PKWY
SAN BERNARDINO, CA 92407
San Bernardino County (909) 537-5495
ALEXA PRIETO ARCIGA
Behavior Technician
5500 UNIVERSITY PKWY
SAN BERNARDINO, CA 92407
San Bernardino County (760) 554-1108
BREANNE MALDONADO
Community/Behavioral Health
5500 UNIVERSITY PKWY
SAN BERNARDINO, CA 92407
San Bernardino County (909) 537-5495
THERESA NGOZI AGBONOME
Behavior Technician
5500 UNIVERSITY PKWY
SAN BERNARDINO, CA 92407
San Bernardino County (909) 537-5495
GABRIEL JORDAN HAMSTRA
Behavior Technician
5500 UNIVERSITY PKWY
SAN BERNARDINO, CA 92407
San Bernardino County (909) 537-5495
DR. TYKEYSHA THOMAS PHD, MSN, RN, CNE
Registered Nurse
5500 UNIVERSITY PKWY
SAN BERNARDINO, CA 92407
San Bernardino County (909) 537-3394
KELLY MONIQUE KAPLAN
Community/Behavioral Health
5500 UNIVERSITY PKWY
SAN BERNARDINO, CA 92407
San Bernardino County (909) 537-5495
DAVINA TAMEZ
Community/Behavioral Health
5500 UNIVERSITY PKWY
SAN BERNARDINO, CA 92407
San Bernardino County (909) 537-5495

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 Lance Kennedy's NPI number?

The NPI number for Lance Kennedy is 1316792856. It was assigned to this individual provider in the NPPES registry on April 18, 2024.

Where is Lance Kennedy located?

Lance Kennedy practices at 5500 University Pkwy, San Bernardino, CA 92407. The listed phone number is (909) 537-5495.

What is Lance Kennedy's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Lance Kennedy was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.