Organization Active NPI

Ellen S. Grosh, MD

  • Psychiatry Physician
  • Ann Arbor, MI
National Provider Identifier
1285885533
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301080927 Issued in MI
Legal business name
ELLEN S. GROSH, MD
Practice address
2020 Hogback Rd
Ste 15
Ann Arbor, MI 48105-9752
Phone
(734) 677-5900
Fax
(734) 677-0476
NPI assigned
Oct 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Dr. Ellen Grosh, M.D.
Title
Psychiatrist
Phone
(734) 834-6014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301080927 MI Primary

Addresses

Primary practice location

2020 Hogback Rd
Ste 15
Ann Arbor, MI 48105-9752

Mailing address

2020 Hogback Rd
Ste 15
Ann Arbor, MI 48105-9752
Phone (734) 677-5900

National Provider Directory

National Provider Directory

Locations

2020 Hogback Rd
Ste 15
Ann Arbor, MI 48105
Phone (734) 677-5900

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1285885533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 HOGBACK RD",
            "address_2": "STE 15",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059752",
            "telephone_number": "734-677-5900",
            "fax_number": "734-677-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HOGBACK RD",
            "address_2": "STE 15",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059752",
            "telephone_number": "734-677-5900",
            "fax_number": "734-677-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN S. GROSH, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "GROSH",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "734-834-6014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301080927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.