Active NPI
Philip a Grossi, M.D.
- Psychoanalyst
- Campbell, CA
National Provider Identifier
1841697653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- G 12389
- Legal business name
- PHILIP A GROSSI, M.D.
- Practice address
- 3425 S Bascom Ave
Suite C
Campbell, CA 95008-7300 - Phone
- (408) 559-9300
- NPI assigned
- Nov 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Philip A Grossi, M.D.
- Title
- Psychiatrist
- Phone
- (409) 559-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | G 12389 | CA | Primary |
Addresses
Primary practice location
3425 S Bascom Ave
Suite C
Campbell, CA 95008-7300
Mailing address
3425 S Bascom Ave
Suite C
Campbell, CA 95008
Phone (408) 559-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G 12389 | Other | CA | NPI 1629110713 |
National Provider Directory
National Provider DirectoryLocations
3425 S Bascom Ave
Ste C
Campbell, CA 95008
Phone (408) 559-9300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416528000000",
"number": "1841697653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 S BASCOM AVE",
"address_2": "SUITE C",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "95008",
"telephone_number": "408-559-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 S BASCOM AVE",
"address_2": "SUITE C",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950087300",
"telephone_number": "408-559-9300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILIP A GROSSI, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-21",
"last_updated": "2014-11-21",
"status": "A",
"authorized_official_last_name": "GROSSI",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "409-559-8000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychoanalyst",
"state": "CA",
"license": "G 12389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI 1629110713",
"identifier": "G 12389",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.