Dr Michael Brian Gross, PSYD, LPC, CMPC is a
Psychologist - Exercise & Sports based in Short Hills, New Jersey. Dr Michael Brian Gross is licensed to practice in New Jersey (license number 35SI00577700) and his current practice location is
30 Chatham Road #803, Short Hills, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(908) 913-0637.
NPI number for Dr Michael Brian Gross is 1932472990 and his current mailing address is 30 Chatham Road #803, Short Hills, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932472990.
Healthcare Provider's Profile
| Full Name | Dr Michael Brian Gross |
|---|
| Gender | Male |
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| Speciality | Psychologist - Exercise & Sports |
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| Location | 30 Chatham Road #803, Short Hills, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932472990
- Provider Enumeration Date: 02/21/2012
- Last Update Date: 08/25/2021
Medical Identifiers
Medical identifiers for Dr Michael Brian Gross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932472990 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 37PC00442900 (New Jersey) | Secondary |
| 103T00000X | Psychologist | 35SI00577700 (New Jersey) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 35SI00577700 (New Jersey) | Secondary |
| 103TE1100X | Psychologist - Exercise & Sports | 35SI00577700 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael Brian Gross is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Michael Brian Gross, PSYD, LPC, CMPC
30 Chatham Road #803,
Short Hills, NJ 07078-5039
Ph: (908) 913-0637 | Dr Michael Brian Gross, PSYD, LPC, CMPC
30 Chatham Road #803,
Short Hills, NJ 07078-0707
Ph: (908) 913-0637 |
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