SUCCESS PSYCHOLOGICAL SERVICES PLLC
NPI 1184189714
Clinic/Center - Adult Mental Health in Saint Paul, MN
About Success Psychological Services Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUCCESS PSYCHOLOGICAL SERVICES PLLC (NPI 1184189714) is a healthcare organization registered as an adult mental health in Saint Paul, Minnesota and active in the NPI registry since February 2019. The organization lists Glenn Phillip Hirsch, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Success Psychological Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Success Psychological Services PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Success Psychological Services PLLC's NPI number?
The NPI number for Success Psychological Services PLLC is 1184189714. It was assigned to this organization in the NPPES registry on February 7, 2019.
Where is Success Psychological Services PLLC located?
Success Psychological Services PLLC is located at 2239 Carter Ave # 202, Saint Paul, MN 55108. The listed phone number is (612) 965-6135.
What is Success Psychological Services PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Success Psychological Services PLLC enrolled in Medicare?
Yes. Success Psychological Services PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Success Psychological Services PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Success Psychological Services PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Success Psychological Services PLLC was last updated on February 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Success Psychological Services Pllc · NPI 1184189714
Adult Mental Health organization in Saint Paul, Minnesota. Organization record, active in the CMS NPPES registry since February 7, 2019.
## Identity
- **NPI:** 1184189714 (Entity type: Organization)
- **Enumerated:** February 7, 2019
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Glenn Hirsch, CEO
## Practice location
- **Address:** 2239 CARTER AVE # 202, Saint Paul, MN 55108-1638
- **Phone:** (612) 965-6135 · **Fax:** (651) 645-2439
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1184189714) · Data from the CMS NPPES public registry.