RICHARD S. GROSS, PH.D,,PC (NPI# 1396907333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396907333 |
| Entity Type | Organization |
| Organization Name | RICHARD S. GROSS, PH.D,,PC |
| Practice Address |
2711 Irvin Way Suite 211 Decatur GA 30030-5405 |
| Mailing Address |
3301 Balmoral Dr Atlanta GA 30341-5617 |
| Practice Telephone | 4045309776 |
| Practice Fax Number | 7709395341 |
| Mailing Telephone | 7709395341 |
| Mailing Fax Number | 7709395341 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |
| Authorized Official Name | DR. RICHARD SAUL GROSS (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 4045209776 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 000371 | GA | Behavioral Health & Social Service Providers |
| Street Address |
2711 IRVIN WAY SUITE 211 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-5405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407857477 | Corey S. Greenwald | Psychiatry & Neurology | 2711 Irvin Way, Suite 211, Decatur, GA 30030-5405 | 2005-08-02 |
| 1134642200 | Advanced Urology Institute of Georgia | Urology | 2711 Irvin Way, Decatur, GA 30030-5405 | 2017-07-20 |
| 1467634915 | Neil Kahn M.d. | Psychiatry & Neurology | 2711 Irvin Way, Suite 211, Decatur, GA 30030-5405 | 2007-11-27 |
| 1295781888 | In Home Health LLC | Hospice, Inpatient | 2711 Irvin Way, Suite 201, Decatur, GA 30030-1724 | 2006-05-25 |
| 1831190602 | Neil Andrew Kahn | Psychiatry & Neurology | 2711 Irvin Way, Suite 211, Decatur, GA 30030-5405 | 2005-08-03 |
| 1194726968 | Katherine Cynthia Thyne | Social Worker | 2711 Irvin Way, Suite 211, Decatur, GA 30030-5405 | 2005-08-03 |
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| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1316451719 | Zainab Delawalla | Clinical Neuropsychologist | 125 Clairemont Ave Ste 510, Decatur, GA 30030-2504 | 2017-11-21 |
| 1215326160 | Tristan Young | Clinical Neuropsychologist | 1276 Mcconnell Dr Ste C, Decatur, GA 30033-3506 | 2015-01-15 |
| 1003957879 | Center for Cognitive Rehabilitation | Clinical Neuropsychologist | 1276 Mcconnell Dr, Suite C, Decatur, GA 30033-3506 | 2007-02-12 |
| 1376610261 | Pate & Culp Psychological Associates, L.L.C. | Clinical Neuropsychologist | 2450 Lawrenceville Hwy Ste 101, Decatur, GA 30033-3226 | 2006-11-29 |
| 1518991967 | Joseph T. Elder | Clinical Neuropsychologist | 1439 Mclendon Dr Ste D, Decatur, GA 30033-1841 | 2006-07-10 |
| 1821037953 | Patricia O'connell | Clinical Neuropsychologist | 2440 Lawrenceville Hwy, Suite 200, Decatur, GA 30033-3226 | 2006-06-05 |
| 1295229359 | Kristian Peter Nitsch | Clinical Neuropsychologist | 1942 Clairmont Rd, Decatur, GA 30033-3406 | 2018-06-21 |
| 1881149243 | Susan Shwartz | Clinical Neuropsychologist | 1942 Clairmont Rd, Decatur, GA 30033-3406 | 2016-08-16 |
| 1255703724 | Ekaterina Staikova | Clinical Neuropsychologist | 12 Executive Park Drive, Decatur, GA 30329-2206 | 2015-10-23 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.