Individual provider Active NPI

Spencer Harris Gross, PH.D.

  • Clinical Psychologist
  • Pleasanton, CA
National Provider Identifier
1447300835
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY10901 Issued in CA
Practice address
3825 Hopyard Rd
Kaiser-Pleasanton Mental Health, Suite 202
Pleasanton, CA 94588-8528
Phone
(925) 847-5166
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY10901 CA Primary

Addresses

Primary practice location

3825 Hopyard Rd
Kaiser-Pleasanton Mental Health, Suite 202
Pleasanton, CA 94588-8528

Mailing address

3825 Hopyard Rd
Kaiser-Pleasanton Mental Health, Suite 202
Pleasanton, CA 94588-8528
Phone (510) 847-5051

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY10901CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447300835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HOPYARD RD",
            "address_2": "KAISER-PLEASANTON MENTAL HEALTH, SUITE 202",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888528",
            "telephone_number": "510-847-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HOPYARD RD",
            "address_2": "KAISER-PLEASANTON MENTAL HEALTH, SUITE 202",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888528",
            "telephone_number": "925-847-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "SPENCER",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.