Individual provider Active NPI

Angela Dorfman, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1124784822
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
268958 Issued in AZ
Practice address
1208 N Cayman Dr
Gilbert, AZ 85234-2890
Phone
(602) 628-9633
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN206016 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 268958 AZ Primary

Addresses

Primary practice location

1208 N Cayman Dr
Gilbert, AZ 85234-2890

Mailing address

1208 N Cayman Dr
Gilbert, AZ 85234-2890
Phone (602) 628-9632

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL desert1975@cox.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219003615 AZ Practitioner - Nurse Practitioner 0648614537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

460 N Mesa Dr
Suite 201
Mesa, AZ 85201-5957
Phone (480) 838-5550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN206016AZMDPsychiatric/Mental Health Registered Nurse
268958AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Community Bridges, Inc CurrentSince Jan 5, 2026 Accepting new patients
Community Bridges, Inc. Past Accepting new patients

Locations

460 N Mesa Dr
Ste 201
Mesa, AZ 85201
Phone (480) 838-5550

Interoperability endpoints

  • Direct secure messaging: angela.dorfmannp.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1124784822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 N CAYMAN DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342890",
            "telephone_number": "602-628-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 N CAYMAN DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342890",
            "telephone_number": "602-628-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORFMAN",
        "first_name": "ANGELA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN206016",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "268958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desert1975@cox.net",
            "affiliation": "N",
            "address_1": "1208 N Cayman Dr",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852342890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.