MIKID, MENTALLY ILL KIDS IN DISTRESS (NPI# 1144554197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144554197 |
| Entity Type | Organization |
| Organization Name | MIKID, MENTALLY ILL KIDS IN DISTRESS |
| Practice Address |
367 N Main St Suite 4 Eagar AZ 85925-9675 |
| Mailing Address |
2642 E Thomas Rd Phoenix AZ 85016-8202 |
| Practice Telephone | 9283334330 |
| Practice Fax Number | 9283334770 |
| Mailing Telephone | 6022531240 |
| Mailing Fax Number | 6022531250 |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |
| Authorized Official Name | VICKI L. JOHNSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6022531240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | AZ | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801026539 | Mikid, Mentally Ill Kids In Distress | Community/Behavioral Health | 100 E 24th St, Yuma, AZ 85364-8619 | 2009-07-15 |
| 1922036599 | Mikid, Mentally Ill Kids In Distress | Voluntary or Charitable | 755 E Willetta St, Ste 128, Phoenix, AZ 85006-2723 | 2006-06-30 |
| 1902116312 | Mikid, Mentally Ill Kids In Distress | Respite Care | 2957 N Us Highway 89, Prescott, AZ 86301-4963 | 2010-10-19 |
| 1891701280 | Mikid, Mentally Ill Kids In Distress | Voluntary or Charitable | 755 E Willetta St, Ste. 128, Phoenix, AZ 85006-2723 | 2006-07-31 |
| Street Address |
367 N MAIN ST SUITE 4 |
| City | EAGAR |
| State | AZ |
| Zip Code | 85925-9675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326008434 | Susan L Blatt Dc LLC | Chiropractor | 367 N Main St, Suite 9, Eagar, AZ 85925-9676 | 2006-03-23 |
| 1164799987 | Nazcare, Inc Power Recovery Center | Exclusive Provider Organization | 367 N Main St, Eagar, AZ 85925-9675 | 2011-11-22 |
| 1831159318 | Susan L Blatt | Chiropractor | 367 N Main St, Suite 9, Eagar, AZ 85925-9676 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851950588 | Nicholas Talbert Mallory | Dentist | 133 W Central Ave, Eagar, AZ 85925 | 2019-06-06 |
| 1063945277 | Ez Counseling | Community/Behavioral Health | 910 S Burk St, Eagar, AZ 85925 | 2017-04-05 |
| 1114393782 | Mason Wade Trezise | Specialist/Technologist | 98 E 7th Pl, Eagar, AZ 85925 | 2015-08-18 |
| 1841673076 | Marshall Hunt Hamblin | Dentist | 133 West Central Ave., Eagar, AZ 85925 | 2015-07-07 |
| 1174895395 | Kevin M Eagar | Chiropractor | 41 W 2nd Ave, Eagar, AZ 85925 | 2012-02-03 |
| 1144465568 | Natalie Sue Cordova | Speech-Language Pathologist | 165 Brown Street, Eagar, AZ 85925 | 2008-12-15 |
| 1467500488 | Friendship House-rvccc | Assisted Living Facility | 381 E Third Ave, Eagar, AZ 85925 | 2007-01-08 |
| 1477611135 | Round Valley Unified School District #10 | Local Education Agency (LEA) | 165 S. Brown, Eagar, AZ 85925 | 2006-12-05 |
| 1316015712 | Brooke Arlene Mccarthy | Occupational Therapist | 352 North Renee Street, Eagar, AZ 85925 | 2006-12-01 |
| 1326003427 | Stephen M Palmer Dds PC | Dentist | 74 N Main St, Ste 9, Eagar, AZ 85925 | 2006-04-20 |
| Find all providers in zip 85925 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063945277 | Ez Counseling | Community/Behavioral Health | 910 S Burk St, Eagar, AZ 85925 | 2017-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700929 | True Wellness Support Services | Community/Behavioral Health | 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 | 2020-11-05 |
| 1447851837 | Laws of Mindful Healing | Community/Behavioral Health | 3717 S Chaparral Rd, Apache Junction, AZ 85119-3608 | 2020-11-03 |
| 1790384030 | Great Xpectations LLC | Community/Behavioral Health | 4014 W Christy Dr, Phoenix, AZ 85029-3958 | 2020-10-19 |
| 1710586144 | Brighter Tomorrow's Family Services, LLC | Community/Behavioral Health | 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 | 2020-10-16 |
| 1386242295 | Mercy Cares LLC | Community/Behavioral Health | 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 | 2020-10-13 |
| 1124626080 | Beia's Families | Community/Behavioral Health | 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 | 2020-10-13 |
| 1558968099 | Seed Sower LLC | Community/Behavioral Health | 11526 W Bloomfield Rd, El Mirage, AZ 85335-3916 | 2020-10-07 |
| 1306443171 | Essential Health Services, LLC | Community/Behavioral Health | 2112 E Sanoque Ct, Gilbert, AZ 85298-6117 | 2020-10-05 |
| 1518564442 | Infinity Groups Homes LLC | Community/Behavioral Health | 3523 E Everett Dr, Phoenix, AZ 85032-5136 | 2020-10-05 |
| 1013524230 | Civara Behavioral Health LLC | Community/Behavioral Health | 4010 W Cactus Rd, Phoenix, AZ 85029-2905 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.