OrganizationActive
Mikid, Mentally Ill Kids in Distress
NPI 1922036599 · Voluntary or Charitable Agency · Phoenix, AZ
Mikid, Mentally Ill Kids in Distress is a Voluntary or Charitable Agency organization in Phoenix, AZ (NPI 1922036599).
Provider details
- NPI number
- 1922036599
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Vicki Johnson, Executive Director(602) 253-1240
- License
- CSA05VO0142 (AZ)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
755 E Willetta St
Ste 128
Phoenix, AZ 85006-2723
Phone: (602) 253-1240
Fax: (602) 253-1250
Street-level locationGet directions
Mailing address
755 E Willetta St
Phoenix, AZ 85006-2723
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mikid, Mentally Ill Kids in Distress's NPI number?
- Mikid, Mentally Ill Kids in Distress's National Provider Identifier (NPI) is 1922036599, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mikid, Mentally Ill Kids in Distress?
- Mikid, Mentally Ill Kids in Distress is classified in the NPPES registry as Voluntary or Charitable Agency (Agencies).
- Where is Mikid, Mentally Ill Kids in Distress located?
- Mikid, Mentally Ill Kids in Distress's practice location on file with NPPES is 755 E Willetta St, Phoenix, AZ 85006-2723.
- What is Mikid, Mentally Ill Kids in Distress's phone number?
- The practice phone number listed in the NPPES registry for Mikid, Mentally Ill Kids in Distress is (602) 253-1240.
- Who is the authorized official for Mikid, Mentally Ill Kids in Distress?
- The authorized official listed on Mikid, Mentally Ill Kids in Distress's NPPES record is Vicki Johnson, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mikid, Mentally Ill Kids in Distress's NPI active?
- Yes — Mikid, Mentally Ill Kids in Distress's NPI (1922036599) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.