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Mikid, Mentally Ill Kids in Distress

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

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

National Provider Identifier

1922036599

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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 Jun 30, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

251V00000X Voluntary or Charitable Agency Agencies · License CSA05VO0142 (AZ) Primary

Authorized official

Name Vicki Johnson
Title Executive Director

Other identifiers

Identifier Type State Issuer
757114 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Mikid, Mentally Ill Kids in Distress located?
The practice location on file with NPPES is in Phoenix, AZ.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.