Organization Active NPI

Robert H. Gross PLLC

  • Child & Adolescent Psychiatry Physician
  • San Angelo, TX
National Provider Identifier
1689718785
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
G5125 Issued in TX
Legal business name
ROBERT H. GROSS PLLC
Practice address
12 E. Twohig
San Angelo, TX 76903-7342
Phone
(325) 340-9899
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Dr. Robert Hadley Gross, MD
Title
Doctor
Phone
(325) 340-9899

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X G5125 TX
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X G5125 TX Primary

Addresses

Primary practice location

12 E. Twohig
San Angelo, TX 76903-7342

Mailing address

12 E. Twohig St.
San Angelo, TX 76903-7342
Phone (325) 340-9899

Other identifiers 1

IdentifierTypeStateIssuer
G5125OtherTXTEXAS STATE MEDICAL BOARD

National Provider Directory

National Provider Directory

Locations

417 Montecito Dr
San Angelo, TX 76903
Phone (325) 659-1787

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1689718785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E. TWOHIG ST.",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769037342",
            "telephone_number": "325-340-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E. TWOHIG",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769037342",
            "telephone_number": "325-340-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H. GROSS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HADLEY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "325-340-9899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G5125",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "G5125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE MEDICAL BOARD",
            "identifier": "G5125",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.