Desert Clover Psychiatry, LLC
NPI 1316693419 · Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
Desert Clover Psychiatry, LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Phoenix, AZ (NPI 1316693419).
Provider details
- NPI number
- 1316693419
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Justin Kodysz, Chief Operations Officer(602) 492-2121
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-02-28
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Frequently asked questions
- What is Desert Clover Psychiatry, LLC's NPI number?
- Desert Clover Psychiatry, LLC's National Provider Identifier (NPI) is 1316693419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Desert Clover Psychiatry, LLC?
- Desert Clover Psychiatry, LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Desert Clover Psychiatry, LLC located?
- Desert Clover Psychiatry, LLC's practice location on file with NPPES is 2601 N 3rd St Ste 205, Phoenix, AZ 85004-1145.
- What is Desert Clover Psychiatry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Desert Clover Psychiatry, LLC is (602) 492-2121.
- Who is the authorized official for Desert Clover Psychiatry, LLC?
- The authorized official listed on Desert Clover Psychiatry, LLC's NPPES record is Justin Kodysz, Chief Operations Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Desert Clover Psychiatry, LLC's NPI active?
- Yes — Desert Clover Psychiatry, LLC's NPI (1316693419) is active in the NPPES registry as of the last update on 2023-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.