Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL BRIAN GROSS, PSYD, LPC, CMPC
Active Sole ProprietorDR. MICHAEL BRIAN GROSS, PSYD, LPC, CMPC is a Exercise & Sports Psychologist healthcare provider located in SHORT HILLS, New Jersey. NPI 1932472990 is currently active in the NPPES registry. Verify at CMS.
Exercise & Sports Psychologist · SHORT HILLS, NJ
Registration Details
- NPI Number
- 1932472990
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2012 (14.289527642668 yrs)
- Last Updated
- Aug 25, 2021
- Licenses
-
37PC00442900 (NJ)35SI00577700 (NJ)35SI00577700 (NJ)35SI00577700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30 CHATHAM ROAD #803SHORT HILLS, NJ, 070780707Browse NJ providers · Browse ZIP 07078
- Phone
- 9089130637
- Primary Specialty
-
Exercise & Sports Psychologist
103TE1100X
- Additional Specialty
- Psychologist
- Additional Specialty
- Cognitive & Behavioral Psychologist
- Additional Specialty
- Exercise & Sports Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.