Philip N. Gross, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000442 Issued in CT

Practice address

100 Englewood Dr
Orange, CT 06477-2411

Phone

(475) 500-7125

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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  • NPI 1821273525
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1063428332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 BOSTON POST RD # 258",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773341",
            "telephone_number": "475-500-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ENGLEWOOD DR",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772411",
            "telephone_number": "475-500-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "PHILIP",
        "middle_name": "N.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gorgeous Smiles Dental Orange PLLC
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• Alexis Diana Grant, PH.D.
• Nickholas Grant, PH.D
• Erin Lenore Greenberg, OTD
• Ayleen Gutierrez
• Elisha Hazel
• Nikime Headley
• Janyna Aquije Healy, APRN
• Michelle Ann Hessberger, N.D.

• Marriage & Family Therapist in Orange, CT
• Providers in Orange, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; 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.