NPIMap

Organization Active NPI

Successful Journeys VII

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Goodyear, AZ
National Provider Identifier
1316642382
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
SUCCESSFUL JOURNEYS VII
Practice address
18649 W Raymond St
Goodyear, AZ 85338-7591
Phone
(615) 310-6325
Fax
(000) 000-0000
NPI assigned
Mar 31, 2023
Organization subpart
Yes
Parent organization
SUCCESSFUL JOURNEYS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Authorized official

Name
David Agyapong, MD
Title
Owner/Ceo
Phone
(615) 310-6325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

18649 W Raymond St
Goodyear, AZ 85338-7591

Mailing address

18649 W Raymond St
Goodyear, AZ 85338-7591
Phone (615) 310-6325

Other names 1

  • SUCCESSFUL JOURNEYS VII Other name

National Provider Directory

National Provider Directory
Tax ID family
Successful Journeys LLC7 organizations share this tax ID, including this one
Part of
Successful Journeys LLC

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1316642382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18649 W RAYMOND ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387591",
            "telephone_number": "615-310-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18649 W RAYMOND ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387591",
            "telephone_number": "615-310-6325",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFUL JOURNEYS VII",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUCCESSFUL JOURNEYS LLC",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "AGYAPONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "615-310-6325",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUCCESSFUL JOURNEYS VII",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.