Individual provider Active NPI

Evan Zachary Gross, PHD

  • Clinical Neuropsychologist
  • Ann Arbor, MI
National Provider Identifier
1528867504
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6301018995 Issued in MI
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250923000169 MI Practitioner - Clinical Psychologist 6608371646 Reassigns benefits to 1 organization

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
Neuropsychology Partners LLCGroup PAC ID 6002175569, 3 clinicians

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

LicenseStateTypeSpecialty
6301018995MIMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology Partners, LLC CurrentSince Sep 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.