Dr. Mike Gross, LLC
Psychologist, Exercise & Sports in Short Hills, New Jersey
1386122489- Practice location
- 30 Chatham Road #803, Short Hills, NJ 07078-0707
- Phone
- 908-913-0637
- Fax
- —
- Last updated
- August 26, 2021
Dr. Mike Gross, LLC is a healthcare organization based in Short Hills, NJ. Dr. Mike Gross, LLC practices in Short Hills, NJ. The NPI Number for Dr. Mike Gross, LLC is 1386122489 and holds a License No. 35SI00577700 (NJ). The current practice location address for Dr. Mike Gross, LLC is 30 Chatham Road #803, Short Hills, NJ 07078-0707 and can be reached out via phone at 908-913-0637.
Provider Profile Details
- NPI Number
- 1386122489
- Provider Name
- Dr. Mike Gross, LLC
- Provider Entity Type
- Organization
- Address
- 30 Chatham Road #803, Short Hills, NJ 07078-0707
- Phone Number
- 908-913-0637
- Primary Taxonomy
- Psychologist, Exercise & Sports · 103TE1100X
- Organization Subpart
- No
- Authorized Official
- Dr. Mike Gross, PSYD, LPC, CMPC · Licensed Psychologist · 908-913-0637
- Other Names
- Tristate Sportpsych (Doing Business As)
- Provider Enumeration Date
- July 31, 2018
- Last Update Date
- August 26, 2021
- Certification Date
- August 26, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Chatham Road #803
Short Hills, NJ 07078-0707 - City
- Short Hills
- State
- New Jersey
- Zip
- 07078-0707
- Phone Number
- 908-913-0637
Provider Business Mailing Address Details
- Address
- 30 Chatham Road #803
Short Hills, NJ 07078-5039 - City
- Short Hills
- State
- NJ
- Zip
- 07078-5039
- Phone Number
- 908-913-0637
License Information
- License Number (1)
- 35SI00577700
- License State (1)
- NJ
- Taxonomy (1)
- Psychologist, Cognitive & Behavioral · 103TB0200X
- License Number (2)
- 35SI00577700
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X
- License Number (3)
- 35SI00577700
- License State (3)
- NJ
- Taxonomy (3)
- Psychologist, Exercise & Sports · 103TE1100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Exercise & Sports providers near Short Hills, NJ
View all Psychologist, Exercise & Sports providers in Short Hills →- Dr. Michael B Gross, PSYD, LPC, CMPCPsychologist, Exercise & Sports · NPI 1932472990
- Stephen T Busby, DDSDentist · NPI 1396850244
- Ms. Heather E Fean, APNNurse Practitioner, Adult Health · NPI 1538379771
- Lisa Dipietropolo, PMHNP-BCClinical Nurse Specialist, Psych/Mental Health · NPI 1902534621
- Kayla T Bradshaw, LCSWSocial Worker, Clinical · NPI 1578813135
- Warby Parker INC.Eyewear Supplier (Equipment, not the service) · NPI 1497323521
Frequently Asked Questions
What is the NPI number of Dr. Mike Gross, LLC?
The NPI number of Dr. Mike Gross, LLC is 1386122489. It was assigned on July 31, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Mike Gross, LLC?
Dr. Mike Gross, LLC is registered under the primary taxonomy Psychologist, Exercise & Sports (code 103TE1100X), licensed in NJ under license number 35SI00577700.
Where does Dr. Mike Gross, LLC practice?
The practice location is 30 Chatham Road #803, Short Hills, NJ 07078-0707. The office can be reached at 908-913-0637 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386122489 directly on the NPPES registry website.