Individual provider Active NPI

Brenda A. Donovan, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1659868776
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP11159 Issued in AZ
Practice address
3333 E Camelback Rd Ste 180
Phoenix, AZ 85018-2396
Phone
(602) 997-0484
Fax
(602) 944-6882
NPI assigned
Apr 13, 2018
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP11159 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP11159 AZ Primary

Addresses

Primary practice location

3333 E Camelback Rd Ste 180
Phoenix, AZ 85018-2396

Mailing address

10266 E Kiva Ave
Mesa, AZ 85209-1280
Phone (480) 299-1712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180426001511 AZ Practitioner - Nurse Practitioner 8325302490 Reassigns benefits to 3 organizations
I20250225003792 CO Practitioner - Nurse Practitioner 8325302490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peak Mental Health LLCGroup PAC ID 0840669800, 9 clinicians

Practice addresses (Care Compare)

2855 N Speer Blvd
Suite E
Denver, CO 80211-4240
Phone (623) 233-0914

3295 N Drinkwater Blvd
Suite 10
Scottsdale, AZ 85251-6437
Phone (623) 233-0914

7301 N 16TH St
Suite 102
Phoenix, AZ 85020-5266

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
67.68
Promoting interoperability
100
Improvement activities
40
Cost
76.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11159AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc, LLC Current Accepting new patients
Akdhc, LLC Current Accepting new patients
Akdhc Surgery Center, LLC Current Accepting new patients
Akdhc, LLC CurrentSince Mar 21, 2019 Accepting new patients
Akdhc, LLC CurrentSince Mar 21, 2019 Accepting new patients
Serenity TMS Centers LLC CurrentSince Sep 6, 2024 Accepting new patients
Peak Mental Health LLC CurrentSince Jan 7, 2025 Accepting new patients
Akdhc, LLC Past Accepting new patients

Locations (25 of 56)

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 322-0323

1225 Hancock Rd
Ste 203
Bullhead City, AZ 86442
Phone (928) 763-1200

2771 Silver Creek Rd
Ste 100
Bullhead City, AZ 86442
Phone (928) 704-7011

1120 S Dobson Rd
Ste 115
Chandler, AZ 85286
Phone (480) 857-2381

451 S Calvary Way
Cottonwood, AZ 86326
Phone (928) 649-7997

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

2201 N Vickey St
Ste 110
Flagstaff, AZ 86004
Phone (928) 213-9460

13620 N Saguaro Blvd
Ste 90
Fountain Hills, AZ 85268
Phone (480) 899-2199

5750 W Thunderbird Rd
Ste F680
Glendale, AZ 85306
Phone (602) 843-7171

6622 N 91st Ave
Ste 100
Glendale, AZ 85305
Phone (623) 547-4668

13657 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 243-6538

2501 N Stockton Hill Rd
Ste 102
Kingman, AZ 86401
Phone (928) 681-2772

1851 Mesquite Ave
Ste 216
Lk Havasu Cty, AZ 86403
Phone (928) 854-5358

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

1520 S Dobson Rd
Ste 304
Mesa, AZ 85202
Phone (480) 899-0767

6553 E Baywood Ave
Ste 205
Mesa, AZ 85206
Phone (480) 396-9922

1209 W Target Range Rd
Ste 104
Nogales, AZ 85621
Phone (520) 882-0696

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

1106 N Beeline Hwy
Payson, AZ 85541
Phone (928) 474-5286

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

16620 N 40th St
Ste B4
Phoenix, AZ 85032
Phone (602) 559-5770

20950 N Tatum Blvd
Ste 380
Phoenix, AZ 85050
Phone (480) 389-1061

21410 N 19th Ave
Ste 131
Phoenix, AZ 85027
Phone (623) 780-1371

2355 E Camelback Rd
Ste 625
Phoenix, AZ 85016
Phone (480) 535-0363

2545 E Thomas Rd
Ste 110
Phoenix, AZ 85016
Phone (602) 309-1532

Interoperability endpoints

  • Direct secure messaging: brendadonovan@ad.allscriptsdirect.net

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1659868776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10266 E KIVA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852091280",
            "telephone_number": "480-299-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 E CAMELBACK RD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182396",
            "telephone_number": "602-997-0484",
            "fax_number": "602-944-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "BRENDA",
        "middle_name": "A.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11159",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.