D.G Family Clinic LLC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

Legal business name

D.G FAMILY CLINIC LLC

Practice address

11242 N 19TH Ave Ste 21
Phoenix, AZ 85029-4858

Phone

(817) 707-2798

NPI assigned

May 18, 2026

Organization subpart

No

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

Authorized official

Name

Desire Ntajonjora NkomeziNPI 1669234779

Title

Owner

Phone

(817) 707-2798

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Desire Ntajonjora Nkomezi

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
  • NPI 1669234779
  NPD Authorized official

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1831028448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 N 108TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375471",
            "telephone_number": "817-707-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11242 N 19TH AVE STE 21",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294858",
            "telephone_number": "817-707-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.G FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "NKOMEZI",
        "authorized_official_first_name": "DESIRE",
        "authorized_official_middle_name": "NTAJONJORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-707-2798"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.

Verify at the official NPI Registry.