Active NPI
Evan Zachary Gross, PHD
- Clinical Neuropsychologist
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 6301018995
- Practice address
- 250 W Eisenhower Pkwy Ste 190
Ann Arbor, MI 48103-6934 - Phone
- (734) 961-7187
- NPI assigned
- Mar 11, 2025
- Last updated
- Mar 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 6301018995 | MI | Primary |
Addresses
Primary practice location
250 W Eisenhower Pkwy Ste 190
Ann Arbor, MI 48103-6934
Mailing address
21546 Gregory St
Dearborn, MI 48124-3006
Phone (201) 403-4977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 W Eisenhower Pkwy
Suite 190
Ann Arbor, MI 48103-6934
Phone (734) 961-7196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301018995 | MI | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsychology Partners, LLC | Current | Accepting new patients |
Locations
250 W Eisenhower Pkwy
Ste 190
Ann Arbor, MI 48103
Phone (734) 707-7075
46325 W Twelve Mile Rd
Ste 215
Novi, MI 48377
Phone (248) 347-8121
Interoperability endpoints
- egross1090835@direct.hfhs.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Brighton, MI
- NPI 1154849339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1528867504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21546 GREGORY ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243006",
"telephone_number": "201-403-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W EISENHOWER PKWY STE 190",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481036934",
"telephone_number": "734-961-7187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "EVAN",
"middle_name": "ZACHARY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-11",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MI",
"license": "6301018995",
"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 Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.