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DEAUNDRE GREEN
NPI 1770031460
Community/Behavioral Health in San Bernardino, CA

Active since September 12, 2016
5500 UNIVERSITY PKWY, SAN BERNARDINO, CA 92407(909) 537-5495(909) 537-7002 Get Directions Write a Review

NPPES record last updated: September 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deaundre Green NPPES

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

DEAUNDRE GREEN (NPI 1770031460) is an individual community/behavioral health provider in San Bernardino, California and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1770031460
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameDEAUNDRE GREEN
Location Address5500 UNIVERSITY PKWYSan Bernardino, CA 92407-2318
Mailing Address5500 University PkwySan Bernardino, CA 92407-2318 · (909) 537-5495 · Fax (909) 537-7002
Phone(909) 537-5495
Fax(909) 537-7002
Sole ProprietorYes
Enumeration DateSeptember 12, 2016
✔ NPI 1770031460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
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 Deaundre Green's NPI number?

The NPI number for Deaundre Green is 1770031460. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Where is Deaundre Green located?

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

What is Deaundre Green'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 Deaundre Green was last updated on September 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.