Justine Alexandra Grosso, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5347 Issued in NC

Practice address

918 Broad St
Durham, NC 27705

Phone

(609) 213-8939

NPI assigned

May 23, 2018

Sex

Female

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

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1154812352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 SPRUNT AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053253",
            "telephone_number": "609-213-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27705",
            "telephone_number": "609-213-8939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3326 Durham Chapel Hill Blvd Ste 130B",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277076244",
            "country_code": "US",
            "telephone_number": "609-213-8939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSO",
        "first_name": "JUSTINE",
        "middle_name": "ALEXANDRA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Stephen Grose
• Mary Sobnosky Gross, MS, RD, LDN
• Ryan Taylor Gross, DDS
• Leigh Ellen Grossfeld
• Samuel M Grossinger, PA
• Grounded Lactation
• Grounded Resilience Counseling PLLC
• Group Service Inc
• Groupservice
• Jeremy Grove

• Clinical Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.