DR. GRADY DALE JR. EDD
NPI 1144350653
Psychologist - Clinical in Baltimore, MD

Active since March 06, 2007Opted out of Medicare · through Jul 1, 2027
4119 FALLS RD STE E, BALTIMORE, MD 21211(410) 963-0085(410) 366-1668 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Grady Dale Jr. Edd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRADY DALE JR. EDD (NPI 1144350653) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (01611) and active in the NPI registry since March 2007. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1144350653
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GRADY DALE JR.Credential: EDD
Location Address4119 FALLS RD STE EBaltimore, MD 21211-1642
Mailing Address4419 Falls Road, Falls Lane Medical Center Ste EBaltimore, MD 21211-1226 · (410) 578-0336 · Fax (410) 361-0651
Fax(410) 366-1668
Sole ProprietorYes
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 25, 2024
NPPES CertifiedJuly 25, 2024
NPI 1144350653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MD · 01611
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4119 FALLS RD STE E, Baltimore, MD 21211

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Grady Dale Jr. Edd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2013 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2013
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grady Dale's NPI number?

The NPI number for Grady Dale is 1144350653. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Grady Dale located?

Grady Dale practices at 4119 Falls Rd Ste E, Baltimore, MD 21211. The listed phone number is (410) 963-0085.

What is Grady Dale's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Grady Dale enrolled in Medicare?

No. Grady Dale has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Grady Dale accept?

Health plans from Providence Health Plan list Grady Dale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grady Dale was last updated on July 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.