MR. ANTHONY DESANTO-KELLY LICENSE PYSCH TECH 3
NPI 1417047069
Licensed Psychiatric Technician in Long Beach, CA

Q: What is Anthony Desanto-kelly's NPI number?

The NPI number for Anthony Desanto-kelly is 1417047069. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Anthony Desanto-kelly's specialty?

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

Active since October 13, 2006

3501 N LAKEWOOD BLVD, LONG BEACH, CA 90808(562) 570-7119 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mr. Anthony Desanto-kelly License Pysch Tech 3 NPPES

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

MR. ANTHONY DESANTO-KELLY LICENSE PYSCH TECH 3 (NPI 1417047069) is an individual licensed psychiatric technician in Long Beach, California, licensed in California (PT24452) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1417047069

Entity TypeIndividualMale

Primary Taxonomy167G00000X

Provider Legal NameMR. ANTHONY DESANTO-KELLYCredential: LICENSE PYSCH TECH 3

Location Address3501 N LAKEWOOD BLVDLong Beach, CA 90808-1736

Mailing Address12857 Frederick St Apt 304Moreno Valley, CA 92553-4502 · (951) 653-3141

Phone(562) 570-7119

Sole ProprietorYes

Enumeration DateOctober 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417047069 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 · PT24452

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.

3501 N LAKEWOOD BLVD, Long Beach, CA 90808

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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 Anthony Desanto-kelly's NPI number?

The NPI number for Anthony Desanto-kelly is 1417047069. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Anthony Desanto-kelly located?

Anthony Desanto-kelly practices at 3501 N Lakewood Blvd, Long Beach, CA 90808. The listed phone number is (562) 570-7119.

What is Anthony Desanto-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 Anthony Desanto-kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.