MIKID (NPI# 1366870776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366870776 |
| Entity Type | Organization |
| Organization Name | MIKID |
| Practice Address |
925 E Bilby Rd Tucson AZ 85706-5507 |
| Mailing Address |
7816 N 19th Ave Phoenix AZ 85021-7036 |
| Practice Telephone | 5208820403 |
| Mailing Telephone | (602) 253-1240 |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2017-05-31 |
| Authorized Official Name | DICK GEASLAND (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6022531240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BH-4332 | AZ | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MIKID ASSOCIATED LLC | 430 Park Avenue, 10th Floor, New York, Ny 10022 |
| Oregon Corporations, Companies and Business Names | MIKIDA LLC | 3477 Se 1st St, Gresham, OR 97080 |
| Virginia Business Entities | MiKiDo Foundation | 6425 Windham Ave, Alexandria, Virginia 22315 |
| Washington State Corporations | MIKIDS BAINBRIDGE ISLAND LLC | 6820 20th St E, Fife, WA 98424 |
| Washington State Corporations | MIKIDS COLCHESTER LLC | 6820 20th St E #b, Fife, WA 98424 |
| Washington State Corporations | MIKIDS CRESCENT BEACH LLC | 6820 20th St E, Fife, WA 98424-2214 |
| Washington State Corporations | MIKIDS EATONVILLE LLC | 6820 20th St E, Fife, WA 98424-2214 |
| Washington State Corporations | MIKIDS HYAK LLC | 6820 20th St E, Fife, WA 98424-2214 |
| Washington State Corporations | MIKIDS KEY PENINSULA LLC | 6820 20th St E, Fife, WA 98424-2214 |
| Washington State Corporations | MIKIDS OAKBROOK LLC | 6820 20th St E, Fife, WA 98424-2214 |
| Street Address |
925 E BILBY RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85706-5507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326527698 | Jessica Marie Rivera | Occupational Therapy Assistant | Sunnyside Unified School District No. 12, 2238 E. Ginter Road, Tuson, AZ 85706 | 2018-08-08 |
| 1902249865 | Shelley Mae Lopez | Licensed Practical Nurse | 2235 E. Ginter Road, Sunnyside Unified School District No. 12, Tucson, AZ 85706 | 2013-04-10 |
| 1689990707 | Rhonda Rene Kendall | Registered Nurse | 2238 E. Ginter Rd, Sunnyside Unified School Districkt No 12, Tucson, AZ 85706 | 2010-04-14 |
| 1124262365 | David E Kohler-edwards | Military Health Care Provider | 1670 E. Perimeter Way, 162nd Medical Group/arizona Air National Guard, Tucson, AZ 85706 | 2009-04-30 |
| 1225205271 | Silvia Garcia | Counselor | 6420 S. Wilmot Street, Suite B301, Tucson, AZ 85706 | 2008-05-09 |
| 1417131426 | Brian Reasoner | Nurse Practitioner | 5369 S. Calle Santa Cruz, Suite 145 Nextcare Urgent Care, Tucson, AZ 85706 | 2007-12-27 |
| 1528278546 | First Script Network Services, Inc. | Durable Medical Equipment & Medical Supplies | 3535 E Valencia Rd, Tucson, AZ 85706 | 2007-05-22 |
| 1245447283 | Kari B Bush | Pharmacist | 3675 E Britannia, Tucson, AZ 85706 | 2007-05-17 |
| 1063634681 | Tara Weber | Speech-Language Pathologist | 1132 12th Street, Douglas, AZ 85706 | 2007-05-03 |
| 1043331028 | Sharlyn Kay Deombeleg | Technician | 5956 S Pacacho El Diablo, Tucson, AZ 85706 | 2007-04-03 |
| Find all providers in zip 85706 | ||||
| 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 |
|---|---|---|---|---|
| 1265047435 | Sarah Mcmillan Counseling Pllc | Community/Behavioral Health | 6460 E Grant Rd # 30661, Tucson, AZ 85715-8800 | 2020-09-14 |
| 1851902274 | Connections Counseling Inc | Community/Behavioral Health | 450 E Navajo Rd, Tucson, AZ 85705-3939 | 2020-08-10 |
| 1619503224 | Willingness Counseling Pllc | Community/Behavioral Health | 5775 S Saddle Ridge Ln, Tucson, AZ 85746-3635 | 2020-03-14 |
| 1174162143 | Buena Vista Recovery, LLC | Community/Behavioral Health | 5151 E Pima St Ste 110, Tucson, AZ 85712-3627 | 2019-12-23 |
| 1053877639 | Getaway Advanced Services LLC | Community/Behavioral Health | 3780 E Felix Blvd, Tucson, AZ 85706-1926 | 2019-02-19 |
| 1255815577 | Jane St. Perre | Community/Behavioral Health | 1955 W Grant Rd Ste 125p, Tucson, AZ 85745-1471 | 2018-09-21 |
| 1225519416 | The University of Arizona | Community/Behavioral Health | 4210 N Campbell Ave, Tucson, AZ 85719-1109 | 2018-08-24 |
| 1497244214 | Sage Counseling, Inc. | Community/Behavioral Health | 2221 E Broadway Blvd Ste 200, Tucson, AZ 85719-6032 | 2018-05-07 |
| 1316440241 | Rob Zonfrelli Counseling LLC | Community/Behavioral Health | 10501 E Seven Generations Way Ste 121, Tucson, AZ 85747-5828 | 2018-03-16 |
| 1730681685 | Casa De Los Ninos, Inc. | Community/Behavioral Health | 1120 N 5th Avenue, Tucson, AZ 85705 | 2018-03-07 |
| Find all providers in TUCSON | ||||
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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.