NPIMap

Organization Active NPI

Mentally Ill Kids in Distress

Doing business as Mikid

  • Community/Behavioral Health Agency
  • Sierra Vista, AZ
National Provider Identifier
1902116312
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
Doing business as
Mikid
Practice address
365 Short St
Sierra Vista, AZ 85635-1918
Phone
(520) 351-9002
Fax
(602) 840-3409
NPI assigned
Oct 19, 2010
Last updated
Dec 5, 2025By the provider in NPPES
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
Ceo
Phone
(602) 253-1240

Specialties & licenses 1

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

Addresses

Primary practice location

365 Short St
Sierra Vista, AZ 85635-1918

Mailing address

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

Other names 1

  • MIKID Doing business as

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

2957 N US Highway 89
Prescott, AZ 86301
Phone (928) 443-9290

1939 Frontage Rd
Sierra Vista, AZ 85635

365 Short St
Sierra Vista, AZ 85635
Phone (520) 351-9002

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1902116312",
    "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",
            "fax_number": "602-253-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 SHORT ST",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351918",
            "telephone_number": "520-351-9002",
            "fax_number": "602-840-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTALLY ILL KIDS IN DISTRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "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": "CEO",
        "authorized_official_telephone_number": "602-253-1240",
        "authorized_official_credential": "BHT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIKID",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sierra Vista, 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.