Active NPI
Daniel E Kennedy, DSW, AMFT, MSC, MBA
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1760279947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT151485
- Practice address
- 9120 Judicial Dr Unit 7124
San Diego, CA 92122-6702 - Phone
- (619) 300-2625
- NPI assigned
- Apr 22, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT151485 | CA | Primary |
Addresses
Primary practice location
9120 Judicial Dr Unit 7124
San Diego, CA 92122-6702
Mailing address
9120 Judicial Dr Unit 7124
San Diego, CA 92122-6702
Phone (619) 300-2625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT151485 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1760279947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9120 JUDICIAL DR UNIT 7124",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921226702",
"telephone_number": "619-300-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9120 JUDICIAL DR UNIT 7124",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921226702",
"telephone_number": "619-300-2625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "DANIEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DSW, AMFT, MSC, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-22",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT151485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.