Denise K. Gross, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY0004484 Issued in FL

Practice address

6015 111TH St E
Bradenton, FL 34211-9468

Phone

(941) 756-0292

Fax

(941) 756-0161

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1821023797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 111TH ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119468",
            "telephone_number": "941-756-0292",
            "fax_number": "941-756-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 111TH ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119468",
            "telephone_number": "941-756-0292",
            "fax_number": "941-756-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "DENISE",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY0004484",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0004484",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211652900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel William Grimaldi, PHARMD
• Crystal D Grindstaff, PTA
• Amy A Griswold, MD
• Brandie Nichole Grolemund, RPHT
• Wendee Arleen Grose, COTA
• Toni Grossenheider, DC
• Lisa M Grossman, DOM, AP, LCSW
• Gracie Ann Groth, DMD
• Grove & Dibetta PLLC
• Stephanie Grove, FNP

• Clinical Neuropsychologist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.