SUCCESSFUL JOURNEYS INTEGRATED CARE


Address: 8828 N Central Ave, 206, Phoenix, AZ 85020-2849
Phone: 6234789400

SUCCESSFUL JOURNEYS INTEGRATED CARE (NPI# 1811434558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811434558
Entity Type Organization
Organization Name SUCCESSFUL JOURNEYS INTEGRATED CARE
Other Organization Name SJIC
Practice Address 8828 N Central Ave
206
Phoenix
AZ 85020-2849
Practice Telephone 6234789400
Practice Fax Number 6234789500
Mailing Telephone 6234789400
Mailing Fax Number 6234789500
Enumeration Date 2017-01-19
Last Update Date 2017-04-28
Authorized Official Name MR. SEKOU JACKSON (CEO)
Authorized Official Telephone 6234789400
Authorized Official Credential MA, MPA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
AZ Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
SJIC Doing Business As Name - Organization

Office Location

Street Address 8828 N CENTRAL AVE
206
City PHOENIX
State AZ
Zip Code 85020-2849

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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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1679088363 Center for Therapy and Mindfulness Clinic/Center 2807 N 51st St, Phoenix, AZ 85008-1613 2017-12-05
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Competitor

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City PHOENIX
Zip Code 85020

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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