NPIMap

Organization Active NPI

Successful Journeys, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Buckeye, AZ
National Provider Identifier
1407583818
Registry record updated Aug 4, 2022
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, LLC
Practice address
22987 W Yavapai St
Buckeye, AZ 85326-8752
Phone
(623) 293-8022
NPI assigned
Aug 4, 2022
Organization subpart
Yes
Parent organization
SUCCESSFUL JOURNEYS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
David Agyapong, MD
Title
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

22987 W Yavapai St
Buckeye, AZ 85326-8752

Mailing address

12224 N 45TH LN
Glendale, AZ 85304-2312
Phone (615) 310-6325

Other names 1

  • SUCCESSFUL JOURNEYS VI Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WWW.SJICARE.COM Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Successful Journeys VII7 organizations share this tax ID, including this one
Part of
Successful Journeys VII

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": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1407583818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12224 N 45TH LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042312",
            "telephone_number": "615-310-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22987 W YAVAPAI ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853268752",
            "telephone_number": "623-293-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFUL JOURNEYS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUCCESSFUL JOURNEYS LLC",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "AGYAPONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "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": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.SJICARE.COM",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22987 W Yavapai St",
            "city": "Buckeye",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853268752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SUCCESSFUL JOURNEYS VI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.