MIKID, MENTALLY ILL KIDS IN DISTRESS
NPI 1891701280
Voluntary or Charitable in Phoenix, AZ

Active since July 31, 2006
755 E WILLETTA ST, STE. 128, PHOENIX, AZ 85006(602) 253-1240(602) 253-1250 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Mikid, Mentally Ill Kids In Distress NPPES

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

MIKID, MENTALLY ILL KIDS IN DISTRESS (NPI 1891701280) is a healthcare organization registered as a voluntary or charitable in Phoenix, Arizona and active in the NPI registry since July 2006. The organization lists Jeff Kazmierczak, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1891701280
Entity TypeOrganization
Primary Taxonomy251V00000X
Legal Business NameMIKID, MENTALLY ILL KIDS IN DISTRESS
Location Address755 E WILLETTA ST, STE. 128Phoenix, AZ 85006-2723
Mailing Address755 E Willetta St, Ste. 128Phoenix, AZ 85006-2723 · (602) 253-1240 · Fax (602) 253-1250
Fax(602) 253-1250
Organization SubpartNo
Authorized OfficialJeff KazmierczakExecutive Director · (602) 253-1240
Enumeration DateJuly 31, 2006
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
NPI 1891701280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyVoluntary or CharitableAgencies
Taxonomy Code251V00000X
License Licensed in AZ · CSA05CP0172
755 E WILLETTA ST, Phoenix, AZ 85006

Other Identifiers 1

Medicaid895394AZ

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Voluntary or Charitable
755 E WILLETTA ST, STE 128
PHOENIX, AZ 85006

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 Mikid, Mentally Ill Kids In Distress's NPI number?

The NPI number for Mikid, Mentally Ill Kids In Distress is 1891701280. It was assigned to this organization in the NPPES registry on July 31, 2006.

Where is Mikid, Mentally Ill Kids In Distress located?

Mikid, Mentally Ill Kids In Distress is located at 755 E Willetta St Ste. 128, Phoenix, AZ 85006. The listed phone number is (602) 253-1240.

What is Mikid, Mentally Ill Kids In Distress's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

When was this NPI record last updated?

The NPPES record for Mikid, Mentally Ill Kids In Distress was last updated on August 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.