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Dharmendrasinh P Chavda

Physician β€’ Phoenix, AZ

Deactivated NPI 1538057583 Deactivated in NPPES
Practice location in NPPES

2208 W Donner Dr
Phoenix, AZ 850416696

Phone: 7325136646

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of July 14, 2025; the reason is not published. The records below are historical. They do not show whether Dharmendrasinh Chavda currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date June 26, 2025
NPI Deactivation Date July 14, 2025
NPI Active Period 2025 – 2025

Practice Location & Contact Primary Location

Practice Address

2208 W Donner Dr

Phoenix, AZ 850416696

Telephone 7325136646
Organization at the Same NPPES Address or Phone
Serenity Behavioral Home Llc Facility NPI 1194615641

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Phoenix and Arizona

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Community Based Residential Treatment Facility, Mental Illness Primary Specialty

NUCC Taxonomy Code: 320800000X

License # reported to NPPES AZ BHRF20030

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated July 14, 2025

NPPES lists this NPI as deactivated as of July 14, 2025; the reason is not published.

βœ…
NPI Profile Active July 02, 2025

NPI status registered as active in NPPES database

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Practice Location (Initial Record) July 02, 2025

Registered at 2208 W DONNER DR, PHOENIX, AZ 850416696 (Tel: 7325136646)

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Business Mailing Address (Initial Record) July 02, 2025

Registered at 2208 W DONNER DR, PHOENIX, AZ 850416696 (Tel: 7325136646)

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Provider Name / Credentials (Initial Record) July 02, 2025

Recorded as DHARMENDRASINH CHAVDA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2025

Community Based Residential Treatment Facility, Mental Illness (license number reported to NPPES: AZ BHRF20030)

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Initial NPI Registration & Enumeration June 26, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1538057583
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2025
Last Update: July 02, 2025
Deactivation Date: July 14, 2025

Mailing Address

2208 W Donner Dr

Phoenix, AZ 850416696

Phone: 7325136646

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.