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Contact Information

DR. MIKE GROSS, LLC
30 CHATHAM ROAD #803
SHORT HILLS, NJ07078-0707
 Phone: 908-913-0637
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DR. MIKE GROSS, LLC

NPI Number 1386122489
LBN Legal business name DR. MIKE GROSS, LLC
Authorized official MIKE GROSS - (LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2018
Last updated 08/26/2021 - About 5 years ago
Identifiers
NJ License # 35SI00577700
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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