| Makini Mental Health Center Llc | |
|
11225 N 28th Dr Ste D201 Phoenix AZ 85029-5614 | |
| (602) 327-1854 | |
| (602) 848-3654 |
| Full Name | Makini Mental Health Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11225 N 28th Dr Ste D201, Phoenix, Arizona |
| Authorized Official Name and Position | Stanley Kidiavayi (PROVIDER) |
| Authorized Official Contact | 6023271854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Makini Mental Health Center Llc 11225 N 28th Dr Ste D201 Phoenix AZ 85029-5614 Ph: (602) 327-1854 | Makini Mental Health Center Llc 11225 N 28th Dr Ste D201 Phoenix AZ 85029-5614 Ph: (602) 327-1854 |
| NPI Number | 1386350049 |
|---|---|
| Provider Enumeration Date | 01/26/2023 |
| Last Update Date | 06/04/2026 |
| Certification Date | 06/04/2026 |
| Medicare PECOS PAC ID | 9133594013 |
|---|---|
| Medicare Enrollment ID | O20230406000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386350049 | NPI | - | NPPES |
| Provider Name | Stanley Kidiavayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902290968 PECOS PAC ID: 7416259551 Enrollment ID: I20230411000294 |
Amra Stafford, Psyd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave, Suite 320, Phoenix, AZ 85012 Phone: 602-456-7565 Fax: 602-266-0234 | |
Pro Iom Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 Phone: 602-482-2282 | |
Liberty Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021 Phone: 602-367-7916 | |
Insight-therapy Az Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E Shea Blvd Ste 235, Phoenix, AZ 85028 Phone: 602-315-4068 Fax: 602-675-2705 | |
White Tiger Integrated Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave Ste 220, Phoenix, AZ 85012 Phone: 603-637-7361 | |
Eden Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2538 E University Dr Ste 180, Phoenix, AZ 85034 Phone: 480-390-3375 | |
Native Country Healthcare Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4805 W Thomas Rd, Phoenix, AZ 85031 Phone: 602-706-8741 |