MAKINI MENTAL HEALTH CENTER LLC
NPI 1386350049
Clinic/Center - Mental Health (Including Community Mental Health Center) in Phoenix, AZ

Q: What is Makini Mental Health Center LLC's NPI number?

The NPI number for Makini Mental Health Center LLC is 1386350049. It was assigned to this organization in the NPPES registry on January 26, 2023.

Q: What is Makini Mental Health Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since January 26, 2023

11225 N 28TH DR STE D201, PHOENIX, AZ 85029(602) 327-1854(602) 848-3654 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2026, May 27, 2026, Sep 11, 2024 and 1 more (4 updates tracked since 2023).

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About Makini Mental Health Center Llc NPPES

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

MAKINI MENTAL HEALTH CENTER LLC (NPI 1386350049) is a healthcare organization registered as a mental health (including community mental health center) in Phoenix, Arizona and active in the NPI registry since January 2023. The organization lists Stanley Kidiavayi, Provider, as its authorized official.

NPPES Registry Identity

NPI1386350049

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameMAKINI MENTAL HEALTH CENTER LLC

Location Address11225 N 28TH DR STE D201Phoenix, AZ 85029-5614

Mailing Address11225 N 28th Dr Ste D201Phoenix, AZ 85029-5614 · (602) 327-1854 · Fax (602) 848-3654

Phone(602) 327-1854

Fax(602) 848-3654

Organization SubpartNo

Authorized OfficialStanley KidiavayiProvider · (602) 327-1854

Enumeration DateJanuary 26, 2023

Last NPPES UpdateJune 4, 20264 updates tracked since enumeration

NPPES CertifiedJune 4, 2026

✔ NPI 1386350049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

11225 N 28TH DR STE D201, Phoenix, AZ 85029

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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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Makini Mental Health Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Makini Mental Health Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stanley Kidiavayi, APRN

Nurse Practitioner

NPI 1902290968

801 S RANCHO DR STE B1B
Las Vegas, NV 89106

(702) 490-2398

✔ PECOS✔ Accepts Medicare249 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Makini Mental Health Center LLC's NPI number?

The NPI number for Makini Mental Health Center LLC is 1386350049. It was assigned to this organization in the NPPES registry on January 26, 2023.

Where is Makini Mental Health Center LLC located?

Makini Mental Health Center LLC is located at 11225 N 28th Dr Ste D201, Phoenix, AZ 85029. The listed phone number is (602) 327-1854.

What is Makini Mental Health Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Makini Mental Health Center LLC enrolled in Medicare?

Yes. Makini Mental Health Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Makini Mental Health Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Makini Mental Health Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Makini Mental Health Center LLC was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.