Active NPIIndividual providerSole proprietor

Dr. Michael B Gross, PSYD, LPC, CMPC

Psychologist, Exercise & Sports in Short Hills, New Jersey

NPI Number1932472990
Practice location
30 Chatham Road #803, Short Hills, NJ 07078-0707
Fax
—
Last updated
August 25, 2021

Michael Brian Gross is a Psychologist, Exercise & Sports based in Short Hills, NJ. Michael Brian Gross practices in Short Hills, NJ and has the professional credentials of PSYD, LPC, CMPC. The NPI Number for Michael Brian Gross is 1932472990 and holds a License No. 37PC00442900 (NJ). The current practice location address for Michael Brian Gross 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
1932472990
Provider Name
Michael Brian Gross
Credential
PSYD, LPC, CMPC
Provider Entity Type
Individual
Gender
Male
Address
30 Chatham Road #803, Short Hills, NJ 07078-0707
Phone Number
908-913-0637
Primary Taxonomy
Psychologist, Exercise & Sports · 103TE1100X
Sole Proprietor
Yes
Provider Enumeration Date
February 21, 2012
Last Update Date
August 25, 2021
Certification Date
August 9, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Chatham Road #803
Short Hills, NJ 07078-0707
Zip
07078-0707
Phone Number
908-913-0637
Short Hills, NJ 07078Get directions →

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)
37PC00442900
License State (1)
NJ
Taxonomy (1)
Counselor, Professional · 101YP2500X
License Number (2)
35SI00577700
License State (2)
NJ
Taxonomy (2)
Psychologist · 103T00000X
License Number (3)
35SI00577700
License State (3)
NJ
Taxonomy (3)
Psychologist, Cognitive & Behavioral · 103TB0200X
License Number (4)
35SI00577700
License State (4)
NJ
Taxonomy (4)
Psychologist, Exercise & Sports · 103TE1100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Michael B Gross, PSYD, LPC, CMPC?

The NPI number of Dr. Michael B Gross, PSYD, LPC, CMPC is 1932472990. It was assigned on February 21, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael B Gross, PSYD, LPC, CMPC?

Dr. Michael B Gross, PSYD, LPC, CMPC is registered under the primary taxonomy Psychologist, Exercise & Sports (code 103TE1100X), licensed in NJ under license number 37PC00442900.

Where does Dr. Michael B Gross, PSYD, LPC, CMPC 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 1932472990 directly on the NPPES registry website.

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