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Mikid, Mentally Ill Kids in Distress

Voluntary or Charitable Agency in Phoenix, AZ · enumerated 2006 · authorized official Jeff Kazmierczak, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891701280

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Registry record

Entity type Organization (Type 2)
Legal business name Mikid, Mentally Ill Kids in Distress
Practice address 755 E Willetta St, Ste. 128, Phoenix, AZ, 85006
Fax (602) 253-1250
Enumeration date Jul 31, 2006
Last updated in NPPES Aug 14, 2024

Taxonomy & classification

251V00000X Voluntary or Charitable Agency Agencies · License CSA05CP0172 (AZ) Primary

Authorized official

Name Jeff Kazmierczak
Title Executive Director

Other identifiers

Identifier Type State Issuer
895394 Medicaid AZ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Mikid, Mentally Ill Kids in Distress?
Mikid, Mentally Ill Kids in Distress is registered in NPPES as a Voluntary or Charitable Agency (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-14.