MANNY BRICE KELLY LPT
NPI 1003479320
Licensed Psychiatric Technician in San Bernardino, CA
NPI Status: Active since April 22, 2019
Contact Information
1481 WINDSOR DR
SAN BERNARDINO, CA
ZIP 92404
Phone: (909) 361-6472
Fax: (909) 203-7403
- Individual
- Male
- Licensed Psychiatric Technician
About MANNY KELLY
This page provides the complete NPI Profile along with additional information for Manny Kelly, a provider established in San Bernardino, California with a medical specialization in Licensed Psychiatric Technician. The healthcare provider is registered in the NPI registry with number 1003479320 assigned on April 2019. The practitioner's primary taxonomy code is 167G00000X with license number 33817 (CA). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1003479320
- Provider Name
- MANNY BRICE KELLY LPT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1481 WINDSOR DR SAN BERNARDINO, CA 92404
- Location Phone
- (909) 361-6472
- Location Fax
- (909) 203-7403
- Mailing Address
- 2895 W FAIRVIEW DR RIALTO, CA 92377
- Mailing Phone
- (909) 435-5341
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-22-2019
- Last Update Date
- 04-22-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Psychiatric Technician
- Taxonomy Code
- 167G00000X
- Type
- Nursing Service Providers
- License No.
- 33817
- License State
- CA
- Taxonomy Description
- 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 4 | 7 | 9 | 3 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 8 | 7 | 18 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 8 + 7 + 1 + 8 + 3 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1003479320 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1578947149 | CRYSTAL BALLEJOS Individual | Rehabilitation Practitioner | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6470 |
| 1497210496 | TIFFANY SOLANO WILLIAMS Individual | Peer Specialist | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6472 |
| 1508321605 | LAQUESHA DAUGHTRY REGISTERED NURSE Individual | Registered Nurse | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6470 |
| 1154895316 | KRISTI GOBER Individual | Peer Specialist | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6470 |
| 1225592181 | JOSE ALFREDO MARTINEZ RN Individual | Registered Nurse | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6472 |
| 1912461963 | EVERETT SCHENCK Individual | Counselor (Mental Health) | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-4760 |
| 1558825331 | MARTIN SETH RODRIGUEZ Individual | Licensed Psychiatric Technician | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6470 |
| 1447714225 | MRS. DIANA GOMEZ REYES Individual | Specialist/Technologist, Health Information (Coding Specialist, Physician Office Based) | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6470 |
| 1962967646 | ROSSILYN WHEELER RN Individual | Registered Nurse | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6472 |
| 1699230391 | JULIEANNE GREEN LVN Individual | Licensed Vocational Nurse | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6472 |
| 1588129936 | HENRY MCGRIFF LVN Individual | Licensed Vocational Nurse | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6472 |
| 1487116646 | FONDA CRANDALL Individual | Peer Specialist | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6472 |
| 1881257186 | GABRIEL NAVARRO Individual | Peer Specialist | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6472 |
| 1750944195 | JANAE MECOLE SCOTT RN Individual | Registered Nurse | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6472 |
| 1578120762 | JOSE ALBERTO MONTIEL-FLORES LPT Individual | Licensed Psychiatric Technician | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6472 |
| 1801448667 | NICOLE CHEREE JOHNSON RN Individual | Registered Nurse (Psychiatric/Mental Health) | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6472 |
| 1801445259 | ERIKA D ORELLANA Individual | Peer Specialist | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6470 |
| 1043861909 | AARON JAY LIM RN Individual | Registered Nurse | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6472 |
| 1548801525 | DUSTIN LOU MILLER Individual | Peer Specialist | 1481 WINDSOR DR SAN BERNARDINO, CA 92404 (909) 361-6472 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003479320, enumerated in the NPI registry as an "individual" on April 22, 2019
The provider is located at 1481 Windsor Dr San Bernardino, Ca 92404 and the phone number is (909) 361-6472
The provider's speciality is Licensed Psychiatric Technician with taxonomy code 167G00000X
This NPI record was last updated on April 22, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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