MENTALLY ILL KIDS IN DISTRESS (NPI# 1770883332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770883332 |
| Entity Type | Organization |
| Organization Name | MENTALLY ILL KIDS IN DISTRESS |
| Other Organization Name | MIKID |
| Practice Address |
810 Gemstone Ave Ste 12&3 Bullhead City AZ 86442-6476 |
| Mailing Address |
7816 N 19th Ave Phoenix AZ 85021-7036 |
| Practice Telephone | 9287330093 |
| Practice Fax Number | 9286369904 |
| Mailing Telephone | 4804144879 |
| Mailing Fax Number | 6022531250 |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | AKIA COMPTON (VICE PRESIDENT) |
| Authorized Official Telephone | 4804144879 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | APPLICATION | AZ | Agencies |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| MIKID | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982150876 | Mentally Ill Kids In Distress | Community/Behavioral Health | 1777 N Frank Reed Rd, Suite 1 & 2, Nogales, AZ 85621-4031 | 2016-08-30 |
| 1780008672 | Mentally Ill Kids In Distress | Community/Behavioral Health | 2891 S Pacific Ave, Yuma, AZ 85365-3512 | 2014-02-12 |
| 1306281233 | Mentally Ill Kids In Distress | Community/Behavioral Health | 7816 N 19th Ave, Phoenix, AZ 85021-7036 | 2013-05-06 |
| 1851735369 | Mentally Ill Kids In Distress | Community/Behavioral Health | 2615 E Beverly Ave, Kingman, AZ 86409-3631 | 2013-04-26 |
| Street Address |
810 GEMSTONE AVE STE 12&3 |
| City | BULLHEAD CITY |
| State | AZ |
| Zip Code | 86442-6476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869039 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1160 Agate Rd, Bullhead City, AZ 86442 | 2020-04-13 |
| 1710544895 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1665 Rainbow Dr Ste 7, Bullhead City, AZ 86442 | 2019-05-23 |
| 1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
| 1225508757 | Desert Springs Urgent Care, PC | Clinic/Center | 3706 Highway 95 Ste 1, Bullhead City, AZ 86442 | 2018-11-27 |
| 1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
| 1255819736 | Phoenix Cancer and Blodd Disorder Treatment Institute | Internal Medicine | 967 Hancock Rd 133, Bullhead City, AZ 86442 | 2018-08-06 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1396297123 | Henry Sy | Pharmacist | 2360 Az-95, Bullhead, AZ 86442 | 2016-10-27 |
| 1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
| Find all providers in zip 86442 | ||||
| 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 |
|---|---|---|---|---|
| 1659917722 | Summer's Dawn Center | Community/Behavioral Health | 1041 Hancock Rd Ste A, Bullhead City, AZ 86442-5968 | 2019-11-22 |
| 1356830186 | Sage Counseling, Inc. | Community/Behavioral Health | 1700 Lakeside Dr Ste 9, Bullhead City, AZ 86442-6534 | 2018-05-07 |
| 1700304110 | Psa Behavioral Health Agency | Community/Behavioral Health | 2580 Highway 95 Ste 116, Bullhead City, AZ 86442-7324 | 2017-09-06 |
| 1558750398 | Treatment Assessment Screening Center, Inc. | Community/Behavioral Health | 1041 Hancock Rd, Suite 3, Bullhead City, AZ 86442-5968 | 2015-01-16 |
| 1639471139 | Oasis Mental Health | Community/Behavioral Health | 2580 Hiway 95 Ste 213f, Bullhead City, AZ 86442-7331 | 2010-12-03 |
| 1750695870 | Euthymia, Inc. | Community/Behavioral Health | 2681 Hiway 95 Ste 100, Bullhead City, AZ 86442-8491 | 2010-07-30 |
| 1194973487 | Abc Therapy, Inc. | Community/Behavioral Health | 3003 Highway 95 Ste N-104, Bullhead City, AZ 86442-7860 | 2008-08-29 |
| 1467637199 | Westcare Arizona I, Inc. | Community/Behavioral Health | 821 Hancock Rd Ste 2, Bullhead City, AZ 86442-5034 | 2007-12-31 |
| 1871672873 | Catholic Charities Community Services | Community/Behavioral Health | 1370 Ramar Road # C, Bullhead City, AZ 86442-7117 | 2006-11-02 |
| 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 | ||||
| City | BULLHEAD CITY |
| Zip Code | 86442 |
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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.