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TRISTATE SPORTPSYCH
NPI 1386122489
Psychologist - Exercise & Sports in Short Hills, NJ

Active since July 31, 2018
30 CHATHAM ROAD #803, SHORT HILLS, NJ 07078(908) 913-0637 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 26, 2021, Jul 31, 2018 (2 updates tracked since 2018).

About Tristate Sportpsych NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRISTATE SPORTPSYCH (NPI 1386122489) is a healthcare organization registered as an exercise & sports in Short Hills, New Jersey and active in the NPI registry since July 2018. The organization lists Mike Gross, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1386122489
Entity TypeOrganization
Primary Taxonomy103TE1100X
Legal Business NameDR. MIKE GROSS, LLC
Location Address30 CHATHAM ROAD #803Short Hills, NJ 07078-0707
Mailing Address30 Chatham Road #803Short Hills, NJ 07078-5039 · (908) 913-0637
Phone(908) 913-0637
Organization SubpartNo
Authorized OfficialMike GrossLicensed Psychologist · (908) 913-0637
Enumeration DateJuly 31, 2018
Last NPPES UpdateAugust 26, 20212 updates tracked since enumeration
NPPES CertifiedAugust 26, 2021
✔ NPI 1386122489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Exercise & SportsBehavioral Health & Social Service Providers
Taxonomy Code103TE1100X
License✔ Licensed in NJ · 35SI00577700
Definition
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 35SI00577700 (NJ)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 35SI00577700 (NJ)

Other Names 1

Doing Business AsTristate Sportpsych

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL BRIAN GROSS PSYD, LPC, CMPC
Psychologist (Exercise & Sports)
30 CHATHAM ROAD #803
SHORT HILLS, NJ 07078
Essex County (908) 913-0637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Mike Gross, LLC's NPI number?

The NPI number for Dr. Mike Gross, LLC is 1386122489. It was assigned to this organization in the NPPES registry on July 31, 2018. The provider is doing business as Tristate Sportpsych.

Where is Dr. Mike Gross, LLC located?

Dr. Mike Gross, LLC is located at 30 Chatham Road #803, Short Hills, NJ 07078. The listed phone number is (908) 913-0637.

What is Dr. Mike Gross, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Exercise & Sports, with taxonomy code 103TE1100X.

When was this NPI record last updated?

The NPPES record for Dr. Mike Gross, LLC was last updated on August 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.