Individual provider Active NPI

Valery Ayafor Nkendong, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Anthem, AZ
National Provider Identifier
1336763218
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
241989 Issued in AZ
Practice address
42201 N 41St Dr Ste 160
Anthem, AZ 85086-3803
Phone
(480) 527-0042
Fax
(480) 499-5921
NPI assigned
Jun 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 241989 AZ Primary

Addresses

Primary practice location

42201 N 41St Dr Ste 160
Anthem, AZ 85086-3803

Mailing address

42201 N 41St Dr Ste 160
Anthem, AZ 85086-3803
Phone (480) 527-0042

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
I20201221001454 AZ Practitioner - Nurse Practitioner 8022432871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Bolt Behavioral LLCGroup PAC ID 0446662241, 4 clinicians

Practice addresses (Care Compare)

42201 N 41St Dr
Suite B160
Anthem, AZ 85086-3800
Phone (480) 568-1745

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241989AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Bolt Behavioral LLC Psychiatric/Mental Health CurrentSince Nov 19, 2020 Accepting new patients

Locations

42201 N 41st Dr
Ste B160
Anthem, AZ 85086
Phone (480) 527-0042

42201 N 41st Dr
Ste 160
Anthem, AZ 85086
Phone (480) 527-0042

34406 N 27th Dr
Ste 140
Phoenix, AZ 85085
Phone (480) 648-5217

Organizations & group practices 1

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": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1336763218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42201 N 41ST DR STE 160",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863803",
            "telephone_number": "480-527-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42201 N 41ST DR STE 160",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863803",
            "telephone_number": "480-527-0042",
            "fax_number": "480-499-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKENDONG",
        "first_name": "VALERY",
        "middle_name": "AYAFOR",
        "name_prefix": "Mr.",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "241989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

Verify at the official NPI Registry.