Ryan D Grady
Counselor, Mental Health in Los Angeles, CA. Individual provider (NPI-1).
NPI number1376825869
StatusActive
Last updated in NPPESAug 10, 2020
Details
- NPI
- 1376825869
- Entity type
- Individual (NPI-1)
- Name
- Ryan D Grady
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2011
- Certification date
- Aug 10, 2020
- Last updated
- Aug 10, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 34093 | CA | Yes |
Practice location
3217 Ettrick StLos Angeles, CA 90027-2503
Phone 213-927-5451
Mailing address
Po Box 292161Los Angeles, CA 90029-8661
Phone 213-927-5451
Other practice locations
526 S San Pedro St
Los Angeles, CA 90013-2102
Los Angeles, CA 90013-2102
Phone 213-488-9559
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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