NPIMap

Organization Active NPI

Mentally Ill Kids in Distress

  • Community/Behavioral Health Agency
  • Yuma, AZ
National Provider Identifier
1780008672
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MENTALLY ILL KIDS IN DISTRESS
Practice address
2891 S Pacific Ave
Yuma, AZ 85365-3512
Phone
(928) 344-1983
Fax
(928) 493-3976
NPI assigned
Feb 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Matt Auna, BHT
Title
Chief Executive Officer
Phone
(602) 253-1240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2891 S Pacific Ave
Yuma, AZ 85365-3512

Mailing address

7816 N 19TH Ave
Phoenix, AZ 85021-7036
Phone (602) 253-1240

National Provider Directory

National Provider Directory
Tax ID family
Mentally Ill Kids in Distress12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2891 S Pacific Ave
Yuma, AZ 85365
Phone (928) 344-1983

3780 S 4th Ave
Ste 3B
Yuma, AZ 85365

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1780008672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7816 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217036",
            "telephone_number": "602-253-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 S PACIFIC AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653512",
            "telephone_number": "928-344-1983",
            "fax_number": "928-493-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTALLY ILL KIDS IN DISTRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "AUNA",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "602-253-1240",
        "authorized_official_credential": "BHT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.