Tristate Sportpsych

LBN: Dr. Mike Gross, Llc
Tristate Sportpsych is an health care organization with primary practice located at 30 Chatham Road #803 , Short Hills NJ 07078-0707. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Exercise & Sports. Behavioral Health & Social Service Providers / Exercise & Sports is the primary health care specialty. Dr. Mike Gross, Llc can be contacted via phone (908) 913-0637, or through Gross, Mike via phone (908) 913-0637.

Contact Information

Primary practice address
30 Chatham Road #803 Short Hills NJ 07078-0707
Phone: (908) 913-0637
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gross, Mike PSYD, LPC, CMPC
Phone: (908) 913-0637

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 35SI00577700 New Jersey
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00577700 New Jersey
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X 35SI00577700 New Jersey

Profile Details

NPI number 1386122489
LBN Legal business name Dr. Mike Gross, Llc
DBA Doing business as Tristate Sportpsych
Authorized official Gross, Mike PSYD, LPC, CMPC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2018
Last updated Aug 26th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers