Individual provider Active NPI

Elissa R. Gross, PSY.D

  • Clinical Psychologist
  • Cresskill, NJ
National Provider Identifier
1063741833
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00387300 Issued in NJ
Practice address
300 Knickerbocker Road, Suite 3200
Cresskill, NJ 07626-1346
Phone
(201) 871-9339
NPI assigned
Dec 8, 2009
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 013760-1 NY
Clinical Psychologist 103TC0700X 35SI00387300 NJ Primary

Addresses

Primary practice location

300 Knickerbocker Road, Suite 3200
Cresskill, NJ 07626-1346

Mailing address

100 Union Ave FL 1
Cresskill, NJ 07626-2141
Phone (201) 403-1284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013760-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Englewood Psychotherapy and Wellness, LLC Clinical Current Accepting new patients
Palisades Surgical Associates, P.C. PastSince Nov 17, 2024 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1063741833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UNION AVE FL 1",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262141",
            "telephone_number": "201-403-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KNICKERBOCKER ROAD, SUITE 3200",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076261346",
            "telephone_number": "201-871-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "ELISSA",
        "middle_name": "R.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013760-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00387300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresskill, NJ

Sources for this page

Verify at the official NPI Registry.