Healthcare Provider Details

I. General information

NPI: 1255274049
Provider Name (Legal Business Name): DESERT TMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4160 N 108TH AVE STE 101
PHOENIX AZ
85037-5468
US

IV. Provider business mailing address

4160 N 108TH AVE STE 101
PHOENIX AZ
85037-5468
US

V. Phone/Fax

Practice location:
  • Phone: 602-332-8889
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. AN NGUYEN
Title or Position: OWNER
Credential: MD
Phone: 602-332-8889