Active NPI
Desert Bloom Pediatric Neuropsychology LLC
- Psychologist
- Peoria, AZ
National Provider Identifier
1730091364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- DESERT BLOOM PEDIATRIC NEUROPSYCHOLOGY LLC
- Practice address
- 9139 W Thunderbird Rd Ste 210
Peoria, AZ 85381-4923 - Phone
- (623) 738-4864
- NPI assigned
- Sep 18, 2026
- Last updated
- Sep 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nacona Bunker, PSYD
- Title
- Pediatric Neuropsychologist
- Phone
- (623) 738-4864
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | |||
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
9139 W Thunderbird Rd Ste 210
Peoria, AZ 85381-4923
Mailing address
9139 W Thunderbird Rd Ste 210
Peoria, AZ 85381-4923
Phone (623) 738-4864
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Peoria, AZ
- NPI 1154128270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789689600000",
"number": "1730091364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9139 W THUNDERBIRD RD STE 210",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814923",
"telephone_number": "623-738-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9139 W THUNDERBIRD RD STE 210",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814923",
"telephone_number": "623-738-4864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT BLOOM PEDIATRIC NEUROPSYCHOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A",
"authorized_official_last_name": "BUNKER",
"authorized_official_first_name": "NACONA",
"authorized_official_title_or_position": "PEDIATRIC NEUROPSYCHOLOGIST",
"authorized_official_telephone_number": "623-738-4864",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.