Desert Sands Medical Group

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DESERT SANDS MEDICAL GROUP

Practice address

34406 N 27TH Dr Ste 140
Phoenix, AZ 85085-6079

Phone

(480) 648-5217

Fax

(623) 321-2352

NPI assigned

Feb 6, 2020

Organization subpart

No

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

Authorized official

Name

Stephanie A Brady, PMHNP

Title

Owner

Phone

(480) 648-5217

Specialties & licenses 1

Addresses

Other names 1

• DESERT SANDS MEDICAL GROUP Doing business as

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1649802828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34406 N 27TH DR STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856079",
            "telephone_number": "480-648-5217",
            "fax_number": "623-321-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34406 N 27TH DR STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856079",
            "telephone_number": "480-648-5217",
            "fax_number": "623-321-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SANDS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-648-5217",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESERT SANDS MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Desert Sage II
• Desert Sage III
• Desert Sage Nutrition Center
• Desert Sand Wellness LLC
• Desert Sands Management, Inc
• Desert Shadows Chiropractic & Wellness
• Desert Shores Dentistry, PLLC
• Desert Sky Chiropractic
• Desert Sky Dental Partners LLC
• Desert Sky Family Dental PLLC

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.