Susan Gross PSYD PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

E16510 Issued in MI

Legal business name

SUSAN GROSS PSYD PLLC

Practice address

451 S Eton St
Birmingham, MI 48009-6524

Phone

(248) 721-4716

Fax

(734) 207-5326

NPI assigned

Nov 19, 2013

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan Gross, PSYDNPI 1376863134

Title

PSYD/Owner

Phone

(248) 721-4716

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Gross, PSYD

  • Family Psychologist
  • Royal Oak, MI
  • NPI 1376863134
  Authorized official Same address or phone

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275963852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 S ETON ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096524",
            "telephone_number": "248-721-4716",
            "fax_number": "734-207-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 S ETON ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096524",
            "telephone_number": "248-721-4716",
            "fax_number": "734-207-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN GROSS PSYD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PSYD/OWNER",
        "authorized_official_telephone_number": "248-721-4716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "E16510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Alex Stone, D.D.S
• Tracey Lynn Stulberg, PH.D.
• Suanne Zager, LMSW, Inc.
• Deborah Sukenic
• Lisa Susalla
• John M Sushko, DDS
• Rachel F Sussman, D.O.
• Steven Harry Sutherland, D.D.S.
• Richard W Suttle, P.A.
• Kelly Ann Sweeney

• Clinical Psychologist in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.