Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Makini Mental Health Center LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1386350049

Makini Mental Health Center LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11225 N 28th Dr Ste D201
Phoenix, AZ 85029-5614
Phone: (602) 327-1854
Fax: (602) 848-3654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1386350049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stanley Kidiavayi — Provider · (602) 327-1854
NPI enumeratedJanuary 26, 2023
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address11225 N 28th Dr Ste D201, Phoenix, AZ 85029-5614

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