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DESERT CLOVER PSYCHIATRY, LLC
NPI 1316693419
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since February 28, 2022
2601 N 3RD ST STE 205, PHOENIX, AZ 85004(602) 492-2121 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2023, Feb 27, 2023, Feb 17, 2023 and 1 more (4 updates tracked since 2022).

About Desert Clover Psychiatry, Llc NPPES

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

DESERT CLOVER PSYCHIATRY, LLC (NPI 1316693419) is a healthcare organization registered as a psychiatric/mental health in Phoenix, Arizona and active in the NPI registry since February 2022. The organization lists Justin Kodysz, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1316693419
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDESERT CLOVER PSYCHIATRY, LLC
Location Address2601 N 3RD ST STE 205Phoenix, AZ 85004-1145
Mailing Address2601 N 3rd St Ste 205Phoenix, AZ 85004-1145 · (602) 492-2121
Phone(602) 492-2121
Organization SubpartNo
Authorized OfficialJustin KodyszChief Operations Officer · (602) 492-2121
Enumeration DateFebruary 28, 2022
Last NPPES UpdateOctober 4, 20234 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1316693419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2601 N 3RD ST STE 205, Phoenix, AZ 85004
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LACY GARTH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2601 N 3RD ST STE 205
PHOENIX, AZ 85004
Maricopa County (480) 494-3164
LOGAN KODYSZ NP
Nurse Practitioner (Psychiatric/Mental Health)
2601 N 3RD ST STE 205
PHOENIX, AZ 85004
Maricopa County (602) 492-2121
MEGHAN TERWILLIGER
Counselor (Professional)
2601 N 3RD ST STE 205
PHOENIX, AZ 85004
Maricopa County (602) 492-2121

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 Desert Clover Psychiatry, LLC's NPI number?

The NPI number for Desert Clover Psychiatry, LLC is 1316693419. It was assigned to this organization in the NPPES registry on February 28, 2022.

Where is Desert Clover Psychiatry, LLC located?

Desert Clover Psychiatry, LLC is located at 2601 N 3rd St Ste 205, Phoenix, AZ 85004. The listed phone number is (602) 492-2121.

What is Desert Clover Psychiatry, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Desert Clover Psychiatry, LLC was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.