MAKINI MENTAL HEALTH CENTER LLC NPI 1386350049

NPI Information

  • NPI: 1386350049
  • Provider Name: MAKINI MENTAL HEALTH CENTER LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 8805 N 23RD AVE STE 100
    PHOENIX, AZ
    ZIP 85021
  • Phone: (602) 856-6116

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NPI Details

MAKINI MENTAL HEALTH CENTER LLC is a mental health (including community mental health center) clinic center in Phoenix, AZ. MAKINI MENTAL HEALTH CENTER LLC NPI is 1386350049. The provider is registered as an organization entity type.

The provider's business location address is:

8805 N 23RD AVE STE 100
PHOENIX, AZ
ZIP 85021-172
Phone: (602) 856-6116
Fax: (602) 856-6122

The provider's authorized official is Stanley Kidiavayi .
The authorized official title is Provider and has the following contact phone number (602) 856-6116.

The enumeration date for this NPI number is 1/26/2023 and was last updated on 9/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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