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MIKID, MENTALLY ILL KIDS IN DISTRESS
NPI 1922036599
Voluntary or Charitable in Phoenix, AZ

Active since June 30, 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 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 1922036599) is a healthcare organization registered as a voluntary or charitable in Phoenix, Arizona and active in the NPI registry since June 2006. The organization lists Vicki Lynn Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1922036599
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
Phone(602) 253-1240
Fax(602) 253-1250
Organization SubpartNo
Authorized OfficialVicki Lynn JohnsonExecutive Director · (602) 253-1240
Enumeration DateJune 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1922036599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyVoluntary or CharitableAgencies
Taxonomy Code251V00000X
License✔ Licensed in AZ · CSA05VO0142
755 E WILLETTA ST, Phoenix, AZ 85006
Open in Google Maps ↗

Other Identifiers 1

Medicaid757114AZ

Other Providers at the Same Location NPPES

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

MIKID, MENTALLY ILL KIDS IN DISTRESS
Voluntary or Charitable
755 E WILLETTA ST, STE. 128
PHOENIX, AZ 85006
Maricopa County (602) 253-1240

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 1922036599. It was assigned to this organization in the NPPES registry on June 30, 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 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.