MR. SAMUEL P GROSS (MALLP, LPC, CSW) – Clinical Psychologist, NPI 1114085107

Clinical Psychologist

MR. SAMUEL P GROSS (MALLP, LPC, CSW) is a healthcare provider. based in Beverly hills, Michigan. specializing in Clinical Psychologist. They hold the professional credentials MALLP, LPC, CSW. They hold a License No. 6801057702 (MI). The NPI Number for MR. SAMUEL P GROSS (MALLP, LPC, CSW) is 1114085107

Main info

Male

Sole Proprietor

45 Years Of Experience

Accepts Medicare Assignment

Name

MR. SAMUEL P GROSS (MALLP, LPC, CSW)

NPI

1114085107

Phone

(248) 433-1069

Address

16991 DUBLAINE

Enumeration Date

4 December 2006

Last Update Date

4 April 2014

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7342858282

Graduation Year

1981 (45 years ago)

PAC ID

6002970779

Group Practice PAC ID

7911995139

Professional Enrollment ID

I20090123000427

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. SAMUEL P GROSS (MALLP, LPC, CSW)

16991 DUBLAINE
BEVERLY HILLS, MI 48025
Phone: (248) 433-1069
Type: Mailing
53950, Van Dyke Avenue, Shelby Charter Township, Macomb County, Michigan, 48316, United States
SUITE 210B
SHELBY TOWNSHIP, MI 483161819
Phone: (586) 781-8400
Fax: (586) 781-8300
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48025)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7911995139View full group profile

Name	Specialty	State
RENEE S GLASS (LMSW)	-	MI
DR. JEFFREY ALLEN FREY (D.O.)	P S Y C H I A T R Y	MI
MR. MICHAEL JAMES OPSOMMER (LMSW, CAC1)	-	MI
DR. YOGESH J SHUKLA (MD)	-	MI
SUSAN ROHDE (MSW)	Clinical Social Worker	MI
PATRICIA F BEACH (LMSW, ACSW, BCD)	-	MI
Unknown Individual	-	MI
MS. DELORIS WATTSON CURRY (CLMSW)	Clinical Social Worker	MI
TATYANA FLEYSHER (MSW)	Clinical Social Worker	MI
SARAH ELLEN DELEON (MD)	P S Y C H I A T R Y	MI

Reviews

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Frequently asked questions

How do I look up MR. SAMUEL P GROSS (MALLP, LPC, CSW) by NPI?

Use NPI 1114085107 when you need to reference MR. SAMUEL P GROSS (MALLP, LPC, CSW) in forms, claims, or directories.

Is MR. SAMUEL P GROSS (MALLP, LPC, CSW)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

What does MR. SAMUEL P GROSS (MALLP, LPC, CSW) treat or focus on?

Patients typically see MR. SAMUEL P GROSS (MALLP, LPC, CSW) under the specialty Clinical Psychologist. Clinical services aligned with this taxonomy classification.

Does MR. SAMUEL P GROSS (MALLP, LPC, CSW) practice in Michigan?

You will see Beverly Hills, Michigan on file for MR. SAMUEL P GROSS (MALLP, LPC, CSW) alongside any extra practice locations.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.