Desert Bolt Behavioral LLC
NPI 1649897414 · Mental Health Clinic/Center (Including Community Mental Health Center) · Anthem, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Desert Bolt Behavioral LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Anthem, AZ (NPI 1649897414).
Provider details
- NPI number
- 1649897414
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Valery Nkendong, Ceo(480) 527-0042
Specialties & taxonomies
Ambulatory Health Care Facilities
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
5 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
Other names (DBA / former)
- Former legal business name
- Desert Bolt Behavioral LLC
- Former legal business name
- Desert Bolt Behavioral LLC
Registry dates
- Enumerated
- 2020-06-28
- Last updated
- 2021-07-05
- Certified
- 2021-07-05
Frequently asked questions
- What is Desert Bolt Behavioral LLC's NPI number?
- Desert Bolt Behavioral LLC's National Provider Identifier (NPI) is 1649897414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Desert Bolt Behavioral LLC?
- Desert Bolt Behavioral LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Desert Bolt Behavioral LLC located?
- Desert Bolt Behavioral LLC's practice location on file with NPPES is 42201 N 41st Dr Ste 160, Anthem, AZ 85086-3803.
- What is Desert Bolt Behavioral LLC's phone number?
- The practice phone number listed in the NPPES registry for Desert Bolt Behavioral LLC is (850) 527-0042.
- Does Desert Bolt Behavioral LLC accept Medicare?
- Desert Bolt Behavioral LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Desert Bolt Behavioral LLC?
- The authorized official listed on Desert Bolt Behavioral LLC's NPPES record is Valery Nkendong, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Desert Bolt Behavioral LLC's NPI active?
- Yes — Desert Bolt Behavioral LLC's NPI (1649897414) is active in the NPPES registry as of the last update on 2021-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.