Destiny Springs Healthcare, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

DESTINY SPRINGS HEALTHCARE, LLC

Practice address

17300 N Dysart Rd
Surprise, AZ 85378-4501

Phone

(623) 233-3000

NPI assigned

Jun 26, 2018

Organization subpart

No

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

Authorized official

Name

David Carnahan

Title

Ceo

Phone

(623) 233-3000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Hospital certification: CCN 034034

Legal name

DESTINY SPRINGS HEALTHCARE LLC

Doing business as

DESTINY SPRINGS HEALTHCARE LLC

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Aug 2, 2019

Last certification

Jul 20, 2022

Beds

95

Ownership / control type

Physician ownership

Organization structure

LLC

Incorporated

Apr 20, 2017 in AZ

Enrollment address

17300 N Dysart Rd
Surprise, AZ 85378-4501
Hospital Psychiatric Unit

Hospital subgroups

Psychiatric

Listed as

Destiny Springs HealthcareCCN 034034

Type

Psychiatric

Ownership

Physician

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Vidushi Soni, MD

  • Internal Medicine Physician
  • Sun City, AZ
  • NPI 1306924246

  5% Or Greater Direct Ownership Interest, General Partnership Interest, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamara R Anderson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1144077983
  NPD (past)
• Gregory Charles Carr, M.D.

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1770760589
  NPD (past)
• Amanda Ellen Cowart, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1831717636
  NPD (past)
• Bryan Joseph Miller, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
  • NPI 1336500339
  NPD (past)
• Paul Raymund Valbuena, MD

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1902009145
  NPD (past)

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1467947101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 N DYSART RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853784501",
            "telephone_number": "623-233-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 N DYSART RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853784501",
            "telephone_number": "623-233-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY SPRINGS HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "CARNAHAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-233-3000"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vilas Deshpande, MD
• Stephanie B Despain, CNM
• Destiny Springs Healthcare, LLC
• Destiny Springs Healthcare, LLC
• Amanda Dewitt, DPT
• Rebecca Dezember
• Gurvinder Singh Dhaliwal, M.D.
• Navrin Dhamani

• Psychiatric Hospital in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Psychiatric Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.