DR. MIKE GROSS LLC NPI 1386122489

NPI Information

  • NPI: 1386122489
  • Provider Name: DR. MIKE GROSS, LLC
  • Classification: Psychologist - 103TE1100X
  • Specialization: Exercise & Sports
  • Entity Type: Organization
  • Doing Business As: TRISTATE SPORTPSYCH
  • Address: 30 CHATHAM ROAD #803
    SHORT HILLS, NJ
    ZIP 07078
  • Phone: (908) 913-0637

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NPI Details

DR. MIKE GROSS, LLC is an exercise and sports psychologist in Short Hills, NJ. The provider is a psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists. DR. MIKE GROSS, LLC NPI is 1386122489. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tristate Sportpsych.

The provider's business location address is:

30 CHATHAM ROAD #803
SHORT HILLS, NJ
ZIP 07078-707
Phone: (908) 913-0637

The provider's authorized official is Mike Gross .
The authorized official title is Licensed Psychologist and has the following contact phone number (908) 913-0637.

The enumeration date for this NPI number is 7/31/2018 and was last updated on 8/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & Behavioral35SI00577700NEW JERSEYNo
2103TC0700XPsychologistClinical35SI00577700NEW JERSEYNo
3103TE1100XPsychologistExercise & Sports35SI00577700NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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