Organization Active NPI

Philip a Grossi, M.D.

  • Psychoanalyst
  • Campbell, CA
National Provider Identifier
1841697653
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
G 12389 Issued in CA
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

Updated by the provider on Nov 21, 2014

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)CodeLicenseStatePrimary
PsychoanalystGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
G 12389OtherCANPI 1629110713

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.