Successful Journeys Integrated Care

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SUCCESSFUL JOURNEYS INTEGRATED CARE

Doing business as

Sjic

Practice address

8828 N Central Ave
206
Phoenix, AZ 85020-2849

Phone

(623) 478-9400

Fax

(623) 478-9500

NPI assigned

Jan 19, 2017

Last updated

Apr 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sekou Jackson, MA, MPA

Title

Ceo

Phone

(623) 478-9400

Specialties & licenses 1

Addresses

Other names 1

• SJIC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olubukola Komolafe, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1134628738
  NPD (past)

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1811434558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8828 N CENTRAL AVE",
            "address_2": "206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202849",
            "telephone_number": "623-478-9400",
            "fax_number": "623-478-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8828 N CENTRAL AVE",
            "address_2": "206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202849",
            "telephone_number": "623-478-9400",
            "fax_number": "623-478-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFUL JOURNEYS INTEGRATED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SEKOU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-478-9400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, MPA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SJIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yamini Subbiah, MD
• Saroj Subedi, MD
• Obada Subei, MD
• Aishwarya Subramanian
• Succeed ABA LLC
• Successful Journeys, LLC (Successful Journeys III)
• Sood Suchart, MD
• Sakolwan Suchartlikitwong, MD
• Benjamin M Sucher, D.O.
• Joseph Frank Sucher, M.D.

• Adult Mental Health Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.