OrganizationActive
Success Health System, LLC
NPI 1508310293 · Psychiatry Physician · Columbia, MO
Provider details
- NPI number
- 1508310293
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Moses Ambilichu, MD(972) 974-0109
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3600 Interstate 70 Dr Se Ste C
Columbia, MO 65201-6583
Phone: (888) 410-5230
Street-level locationGet directions
Mailing address
Po Box 716
Columbia, MO 65205-0716
Additional practice locations (6)
- 3400 Chapel Hill RdDouglasville, GA 30135-1739Phone: (888) 410-5230
- 11695 S Blackbob RdOlathe, KS 66062-1058Phone: (888) 410-5230
- 12401 Olive Blvd Ste 206Creve Coeur, MO 63141-5448Phone: (888) 410-5230
- 4429 S River Blvd Ste DIndependence, MO 64055-4659Phone: (888) 410-5230
- 2010 S Buckner BlvdDallas, TX 75217-1804Phone: (888) 410-5230
- 2805 E 19th StVancouver, WA 98661-4614Phone: (888) 410-5230
Registry dates
- Enumerated
- 2016-08-10
- Last updated
- 2025-09-30
- Certified
- 2025-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.