Organization Active NPI

Richard S. Gross, PH.D,,PC

  • Clinical Neuropsychologist
  • Decatur, GA
National Provider Identifier
1396907333
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
000371 Issued in GA
Legal business name
RICHARD S. GROSS, PH.D,,PC
Practice address
2711 Irvin Way
Suite 211
Decatur, GA 30030-5405
Phone
(404) 530-9776
Fax
(770) 939-5341
NPI assigned
Jul 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Dr. Richard Saul Gross, PH.D.
Title
Clinical Psychologist
Phone
(404) 520-9776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 000371 GA Primary

Addresses

Primary practice location

2711 Irvin Way
Suite 211
Decatur, GA 30030-5405

Mailing address

3301 Balmoral Dr
Atlanta, GA 30341-5617
Phone (770) 939-5341

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1396907333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BALMORAL DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415617",
            "telephone_number": "770-939-5341",
            "fax_number": "770-939-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 IRVIN WAY",
            "address_2": "SUITE 211",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305405",
            "telephone_number": "404-530-9776",
            "fax_number": "770-939-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S. GROSS, PH.D,,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SAUL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-520-9776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "000371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.