Success Psychological Services PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SUCCESS PSYCHOLOGICAL SERVICES PLLC

Practice address

2239 Carter Ave # 202
Saint Paul, MN 55108-1638

Phone

(612) 965-6135

Fax

(651) 645-2439

NPI assigned

Feb 7, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Phillip Hirsch, PH.D.NPI 1437207115

Title

Ceo

Phone

(612) 965-6135

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Glenn Phillip Hirsch, PH.D.

  • Clinical Psychologist
  • Saint Paul, MN
  • NPI 1437207115
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1184189714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 CARTER AVE # 202",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081638",
            "telephone_number": "612-965-6135",
            "fax_number": "651-645-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 CARTER AVE # 202",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081638",
            "telephone_number": "612-965-6135",
            "fax_number": "651-645-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-965-6135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sub-Saharan African Youth & Family Services
• Submerge in Sensory
• Elizabeth Subramaniam, MA
• Amarnath Subramanian, MD
• Robert Emil Substad
• Megan Marie Suchoski
• Adam Sudbeck, PA-C
• Anisa Sufi
• Samaha Gellany Sufi
• Leisha Suggs, LAMFT

• Adult Mental Health Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.