DEMETRI RASHAD KELLEY NPI 1659009389

NPI Information

  • NPI: 1659009389
  • Provider Name: DEMETRI RASHAD KELLEY
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 11519 CARLISLE PL
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Phone: (909) 484-7259

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NPI Details

Demetri Rashad Kelley is a counselor in Rancho Cucamonga, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Demetri Rashad Kelley NPI is 1659009389. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11519 CARLISLE PL
RANCHO CUCAMONGA, CA
ZIP 91730-233
Phone: (909) 484-7259

The enumeration date for this NPI number is 8/10/2022 and was last updated on 8/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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