DIRECTLY AFFECTED
NPI 1124603394
Clinic/Center - Adolescent and Children Mental Health in Mesa, AZ

Q: What is Directly Affected's NPI number?

The NPI number for Directly Affected is 1124603394. It was assigned to this organization in the NPPES registry on March 10, 2021.

Q: What is Directly Affected's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Q: When was this NPI record last updated?

The NPPES record for Directly Affected was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 10, 2021

2522 S TERRIPIN, MESA, AZ 85209(614) 980-2116 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Directly Affected NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIRECTLY AFFECTED (NPI 1124603394) is a healthcare organization registered as an adolescent and children mental health in Mesa, Arizona and active in the NPI registry since March 2021. The organization lists Dominique Myrick, President, as its authorized official.

NPPES Registry Identity

NPI1124603394

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameDIRECTLY AFFECTED

Location Address2522 S TERRIPINMesa, AZ 85209-4959

Mailing Address2522 S TerripinMesa, AZ 85209-4959 · (614) 980-2116

Phone(614) 980-2116

Organization SubpartNo

Authorized OfficialDominique MyrickPresident · (614) 980-2116

Enumeration DateMarch 10, 2021

NPPES CertifiedMarch 10, 2021

✔ NPI 1124603394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedFoster Care AgencyTaxonomy 253J00000X

2522 S TERRIPIN, Mesa, AZ 85209

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Directly Affected's NPI number?

The NPI number for Directly Affected is 1124603394. It was assigned to this organization in the NPPES registry on March 10, 2021.

Where is Directly Affected located?

Directly Affected is located at 2522 S Terripin, Mesa, AZ 85209. The listed phone number is (614) 980-2116.

What is Directly Affected's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Directly Affected was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.