Active NPI
Shifra Leah Gross, PSY.D.
- Psychologist
- Jupiter, FL
National Provider Identifier
1265247514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY12380
- Practice address
- 210 Jupiter Lakes Blvd Ste 201
Jupiter, FL 33458-7188 - Phone
- (561) 870-0411
- Fax
- (561) 972-4036
- NPI assigned
- Feb 12, 2025
- Last updated
- Feb 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY12380 | FL | Primary |
Addresses
Primary practice location
210 Jupiter Lakes Blvd Ste 201
Jupiter, FL 33458-7188
Mailing address
210 Jupiter Lakes Blvd Ste 201
Jupiter, FL 33458-7188
Phone (561) 870-0411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY12380 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1265247514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 JUPITER LAKES BLVD STE 201",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587188",
"telephone_number": "561-870-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 JUPITER LAKES BLVD STE 201",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587188",
"telephone_number": "561-870-0411",
"fax_number": "561-972-4036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "SHIFRA",
"middle_name": "LEAH",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-12",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY12380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
- Burton Howard Greenberg, M.D.
- Paula Jarger Greene, APRN
- Ken K Grey, D.O.M.
- Meaghan Jewel Griffin, BSN, RN
- Jaidalyn Gromadzki
- Siobhan McRostie Gross, RN, BSN, CDE
- Group M Dermatology PA (Jupiter Dermatology & Hair Restoration)
- Grubbs & Grubbs Inc
- Laura Lee Gruenwald, MASSAGE THERAPIST
- Ailen Guash Reyes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.