Organization Active NPI

Denise K. Gross, Psy.D., LLC

  • Clinical Psychologist
  • Bradenton, FL
National Provider Identifier
1013359736
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DENISE K. GROSS, PSY.D., LLC
Practice address
6015 111TH St E
Bradenton, FL 34211-9468
Phone
(941) 756-0292
Fax
(941) 756-0161
NPI assigned
Jul 23, 2013
Last updated
Jul 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Arthur James Gross
Title
Manager Member
Phone
(941) 756-0292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

6015 111TH St E
Bradenton, FL 34211-9468

Mailing address

6015 111TH St E
Bradenton, FL 34211-9468
Phone (941) 756-0292

National Provider Directory

National Provider Directory

Locations

6015 111th St E
Bradenton, FL 34211
Phone (941) 756-0292

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1013359736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 111TH ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119468",
            "telephone_number": "941-756-0292",
            "fax_number": "941-756-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 111TH ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119468",
            "telephone_number": "941-756-0292",
            "fax_number": "941-756-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE K. GROSS, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "941-756-0292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.