Makini Mental Health Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAKINI MENTAL HEALTH CENTER LLC

Practice address

11225 N 28TH Dr Ste D201
Phoenix, AZ 85029-5614

Phone

(602) 327-1854

Fax

(602) 848-3654

NPI assigned

Jan 26, 2023

Last updated

Jun 4, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stanley Kidiavayi, NPNPI 1902290968

Title

Provider

Phone

(602) 327-1854

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stanley Kidiavayi, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1902290968

  AZ

  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1386350049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 N 28TH DR STE D201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295614",
            "telephone_number": "602-327-1854",
            "fax_number": "602-848-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 N 28TH DR STE D201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295614",
            "telephone_number": "602-327-1854",
            "fax_number": "602-848-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKINI MENTAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "KIDIAVAYI",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "602-327-1854",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Ann Maki, O.T.R.L
• Making a Difference
• Making Better Moves LLC
• Making Connections Behavioral Health Services LLC
• Makini Clinic PLLC
• Akash Makkar, M.D.
• Nupur Nimmi Makkar
• Nader Makki, MD
• Michelle Makofske, RN
• Makonnen G Habtemariam PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.