Susan Gross, PSYD

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

License

6301013698 Issued in MI

Practice address

3601 W 13 Mile Rd Ste Ec
Royal Oak, MI 48073-6712

Phone

(248) 898-5058

NPI assigned

Jun 3, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1376863134",
    "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": "3601 W 13 MILE RD STE EC",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736712",
            "telephone_number": "248-898-5058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 S Eton St",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "MI",
            "postal_code": "480096524",
            "country_code": "US",
            "telephone_number": "248-721-4716",
            "fax_number": "734-207-5326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "SUSAN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MI",
            "license": "6301013698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PSYCHOLOGY",
            "identifier": "6301013698",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austen Nicklaus Grooms, DO
• David R Gross
• Elise Catherine Gross, M.D.
• Laura Joanne Gross, LMSW
• Martin Gross
• Karen Grossberg, MSW, LMSW
• Kelly Riesterer Groth
• Jeff Gruber, PSYD
• Jennifer Lynn Gruits
• Morgan Fay Gruner

• Family Psychologist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Family Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.