Success Acq Corp

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

43661 Issued in IN

Legal business name

SUCCESS ACQ CORP

Practice address

3455 West Vermont
Indianapolis, IN 46222

Phone

(317) 916-1402

Fax

(317) 630-5221

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Chris Jagoditz

Title

Chief Financial Officer

Phone

(317) 524-6360

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Peter Mohlman, MD

  • Child & Adolescent Psychiatry Physician
  • Indianapolis, IN
  • NPI 1194819714
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861587230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26456",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46226",
            "telephone_number": "317-524-6360",
            "fax_number": "317-544-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 WEST VERMONT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46222",
            "telephone_number": "317-916-1402",
            "fax_number": "317-630-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS ACQ CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAGODITZ",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "317-524-6360"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IN",
            "license": "43661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vijay R Subramaniam, DO
• Usha Subramanian, M.D.
• Shalini Subramanyam, DDS
• Kavitha Subramoney, MD
• Succeed ABA LLC
• Olga Suchshinskaya, M.S., R.D.
• Sangita Sudharshan, M.D.
• Eric J Suding, DDS
• Victoria Sue, LMHC-A
• Christopher John Suelzer, M.D.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.