Organization Active NPI

Pearl Success LLC

  • Adult Mental Health Clinic/Center
  • River Vale, NJ
National Provider Identifier
1790634673
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PEARL SUCCESS LLC
Practice address
620 Westwood Ave Apt a
River Vale, NJ 07675-6256
Phone
(845) 893-4051
NPI assigned
Jan 24, 2026
Last updated
Jan 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2026

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

Authorized official

Name
Jacobkutty Joseph PalamattomNPI 1508658923
Title
Bcba
Phone
(845) 893-4051

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

620 Westwood Ave Apt a
River Vale, NJ 07675-6256

Mailing address

620 Westwood Ave Apt a
River Vale, NJ 07675-6256
Phone (845) 893-4051

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1769212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769212800000",
    "number": "1790634673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 WESTWOOD AVE APT A",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076756256",
            "telephone_number": "845-893-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WESTWOOD AVE APT A",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076756256",
            "telephone_number": "845-893-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL SUCCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-24",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A",
        "authorized_official_last_name": "PALAMATTOM",
        "authorized_official_first_name": "JACOBKUTTY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "845-893-4051"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Vale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.