Directly Affected
NPI 1124603394 · Adolescent and Children Mental Health Clinic/Center · Mesa, AZ
Directly Affected is a Adolescent and Children Mental Health Clinic/Center organization in Mesa, AZ (NPI 1124603394).
Provider details
- NPI number
- 1124603394
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dominique Myrick, President(614) 980-2116
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Case Management Agency251B00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Foster Care Agency253J00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-03-10
- Last updated
- 2021-03-10
- Certified
- 2021-03-10
Frequently asked questions
- What is Directly Affected's NPI number?
- Directly Affected's National Provider Identifier (NPI) is 1124603394, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Directly Affected?
- Directly Affected is classified in the NPPES registry as Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Directly Affected located?
- Directly Affected's practice location on file with NPPES is 2522 S Terripin, Mesa, AZ 85209-4959.
- What is Directly Affected's phone number?
- The practice phone number listed in the NPPES registry for Directly Affected is (614) 980-2116.
- Who is the authorized official for Directly Affected?
- The authorized official listed on Directly Affected's NPPES record is Dominique Myrick, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Directly Affected's NPI active?
- Yes — Directly Affected's NPI (1124603394) is active in the NPPES registry as of the last update on 2021-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.