Organization Active NPI

Student Success Mobile Educational Psychology, LLC

  • School Psychologist
  • Brandon, FL
National Provider Identifier
1679488571
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Legal business name
STUDENT SUCCESS MOBILE EDUCATIONAL PSYCHOLOGY, LLC
Practice address
1231 W Brandon Blvd Ste 101
Brandon, FL 33511-4129
Phone
(813) 586-1683
NPI assigned
Aug 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Diana Marcela Gonzales, GONZALESNPI 1750216305
Title
Owner
Phone
(813) 220-9921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X Primary

Addresses

Primary practice location

1231 W Brandon Blvd Ste 101
Brandon, FL 33511-4129

Mailing address

1231 W Brandon Blvd Ste 101
Brandon, FL 33511-4129
Phone (813) 586-1683

National Provider Directory

National Provider Directory

Locations

1231 W Brandon Blvd
Ste 101
Brandon, FL 33511

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1679488571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 W BRANDON BLVD STE 101",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114129",
            "telephone_number": "813-586-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 W BRANDON BLVD STE 101",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114129",
            "telephone_number": "813-586-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDENT SUCCESS MOBILE EDUCATIONAL PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-16",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "MARCELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-220-9921",
        "authorized_official_credential": "GONZALES"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.