Active NPI
Clive Dale Kennedy, PH.D.
- Forensic Psychologist
- Lancaster, CA
National Provider Identifier
1841329232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PSY 8011
- Practice address
- 1672 W Avenue J Ste 207
Lancaster, CA 93534-2861 - Phone
- (661) 943-3871
- NPI assigned
- Mar 3, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 8011 | CA | |
| Forensic Psychologist | 103TF0200X | PSY 8011 | CA | Primary |
Addresses
Primary practice location
1672 W Avenue J Ste 207
Lancaster, CA 93534-2861
Mailing address
1672 W Avenue J Ste 207
Lancaster, CA 93534-2861
Phone (661) 943-3871
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 8011 | CA | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1841329232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1672 W AVENUE J STE 207",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342861",
"telephone_number": "661-943-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1672 W AVENUE J STE 207",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342861",
"telephone_number": "661-943-3871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "CLIVE",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 8011",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY 8011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.