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DESERT BOLT BEHAVIORAL LLC
NPI 1649897414
Clinic/Center - Mental Health (Including Community Mental Health Center) in Anthem, AZ

Active since June 28, 2020
42201 N 41ST DR STE 160, ANTHEM, AZ 85086(850) 527-0042(480) 296-0002 Get Directions Write a Review

NPPES record last updated: July 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2021, Oct 6, 2020, Jun 28, 2020 (3 updates tracked since 2020).

About Desert Bolt Behavioral Llc NPPES

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

DESERT BOLT BEHAVIORAL LLC (NPI 1649897414) is a healthcare organization registered as a mental health (including community mental health center) in Anthem, Arizona and active in the NPI registry since June 2020. The organization lists Valery A Nkendong, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649897414
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameDESERT BOLT BEHAVIORAL LLC
Location Address42201 N 41ST DR STE 160Anthem, AZ 85086-3803
Mailing Address42201 N 41st Dr Ste 160Anthem, AZ 85086-3803 · (850) 527-0042 · Fax (480) 296-0002
Phone(850) 527-0042
Fax(480) 296-0002
Organization SubpartNo
Authorized OfficialValery A NkendongCeo · (480) 527-0042
Enumeration DateJune 28, 2020
Last NPPES UpdateJuly 5, 20213 updates tracked since enumeration
NPPES CertifiedJuly 5, 2021
✔ NPI 1649897414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
42201 N 41ST DR STE 160, Anthem, AZ 85086
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Other Names 1

Former Legal Business NameDesert Bolt Behavioral Llc

Other Identifiers 1

Medicaid120200727001036AZ

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.

HANNAH PARRISH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
42201 N 41ST DR STE 160
ANTHEM, AZ 85086
Maricopa County (480) 360-8112
MR. VALERY AYAFOR NKENDONG DNP, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
42201 N 41ST DR STE 160
ANTHEM, AZ 85086
Maricopa County (480) 527-0042
DAWNMARIE HARBISON LAC
Counselor (Mental Health)
42201 N 41ST DR STE 160
ANTHEM, AZ 85086
Maricopa County (480) 527-0042

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 Bolt Behavioral LLC's NPI number?

The NPI number for Desert Bolt Behavioral LLC is 1649897414. It was assigned to this organization in the NPPES registry on June 28, 2020.

Where is Desert Bolt Behavioral LLC located?

Desert Bolt Behavioral LLC is located at 42201 N 41st Dr Ste 160, Anthem, AZ 85086. The listed phone number is (850) 527-0042.

What is Desert Bolt Behavioral LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Desert Bolt Behavioral LLC was last updated on July 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.