Grossman Psychological Associates

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY5618 Issued in CA

Legal business name

GROSSMAN PSYCHOLOGICAL ASSOCIATES

Practice address

4550 Kearny Villa Rd
Ste 214
San Diego, CA 92123-1578

Phone

(858) 560-0900

NPI assigned

Jan 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ira (NMN) Grossman, PH.D.

Title

Ceo

Phone

(858) 560-0900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1871731109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 KEARNY VILLA RD",
            "address_2": "STE 214",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231578",
            "telephone_number": "858-560-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 KEARNY VILLA RD",
            "address_2": "STE 214",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231578",
            "telephone_number": "858-560-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSMAN PSYCHOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "(NMN)",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-560-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY5618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Gross
• Steven Alan Gross, MD
• Paul David Grossfeld, M.D.
• Sara Margaret Grossi, M.D.
• Alexandra Grossman Moon, MD, MSW
• Charles B. Grossman, MD
• Dana Thisted Grossman, PH.D.
• Ira Grossman, PHD
• Julie Tamara Grossman, FNP
• Margalit Grossman, PSYD

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.