RICHARD S. GROSS, PH.D,,PC
NPI 1396907333
Clinical Neuropsychologist in Decatur, GA
- Organization
- Clinical Neuropsychologist
About RICHARD S. GROSS, PH.D,,PC
This page provides the complete NPI Profile along with additional information for Richard S. Gross, Ph.d,,pc, a provider established in Decatur, Georgia operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1396907333 assigned on July 2008. The practitioner's primary taxonomy code is 103G00000X with license number 000371 (GA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Richard Saul Gross Ph.d. (Clinical Psychologist)
- NPI
- 1396907333 Verify this NPI
- Provider Name
- RICHARD S. GROSS, PH.D,,PC
- Entity Type
- Organization
- Location Address
- 2711 IRVIN WAY SUITE 211 DECATUR, GA 30030
- Location Phone
- (404) 530-9776
- Location Fax
- (770) 939-5341
- Mailing Address
- 3301 BALMORAL DR ATLANTA, GA 30341
- Mailing Phone
- (770) 939-5341
- Mailing Fax
- (770) 939-5341
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-01-2008
- Last Update Date
- 07-01-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 000371
- License State
- GA
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 68BBCDF | MEDICARE PIN (08) | GA |
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Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
DECATUR, GA 30030
DECATUR, GA 30030
DECATUR, GA 30030
DECATUR, GA 30030
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396907333, enumerated as an "organization" on July 01, 2008.
The provider is located at 2711 IRVIN WAY SUITE 211 DECATUR, GA 30030 and the phone number is (404) 530-9776.
Clinical Neuropsychologist with taxonomy code 103G00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
