NPIMap

Organization Active NPI

Teresa Jean Lynch

Doing business as Success Behavioral Health

  • Clinical Psychologist
  • Midland, MI
National Provider Identifier
1750951422
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
TERESA JEAN LYNCH
Doing business as
Success Behavioral Health
Practice address
1717 E Sugnet Rd
Midland, MI 48642-3827
Phone
(989) 615-5989
Fax
(989) 607-2119
NPI assigned
Jun 25, 2021
Last updated
Aug 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
Dr. Teresa J Lynch, PHDNPI 1326212168
Title
Owner
Phone
(989) 615-5989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

1717 E Sugnet Rd
Midland, MI 48642-3827

Mailing address

3909 Lancaster St
Midland, MI 48642-3758
Phone (989) 615-5989

Other names 1

  • SUCCESS BEHAVIORAL HEALTH Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1750951422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 LANCASTER ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486423758",
            "telephone_number": "989-615-5989",
            "fax_number": "989-607-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E SUGNET RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486423827",
            "telephone_number": "989-615-5989",
            "fax_number": "989-607-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA JEAN LYNCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-615-5989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUCCESS BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.