MR. GRADY MATTHEW GALLAGHER
NPI 1508500356
Psychologist - Clinical in Las Vegas, NV

Q: What is Grady Gallagher's NPI number?

The NPI number for Grady Gallagher is 1508500356. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Q: What is Grady Gallagher's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Grady Gallagher was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 26, 2022PECOS EnrolledAccepts Medicare Assignment

4021 MANNING MOUNTAIN ST, LAS VEGAS, NV 89129(202) 489-1403 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 4, 2026, Jan 4, 2025, Apr 26, 2022 (3 updates tracked since 2022).

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About Mr. Grady Matthew Gallagher NPPES

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

MR. GRADY MATTHEW GALLAGHER (NPI 1508500356) is an individual clinical provider in Las Vegas, Nevada, licensed in Nevada (PY1229) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1508500356

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. GRADY MATTHEW GALLAGHER

Location Address4021 MANNING MOUNTAIN STLas Vegas, NV 89129-3257

Mailing Address8414 Farm Road, Ste 180 #1024Las Vegas, NV 89131-8007 · (202) 489-1403

Phone(202) 489-1403

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateApril 26, 2022

Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1508500356 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 NV · PY1229

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.

4021 MANNING MOUNTAIN ST, Las Vegas, NV 89129

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Secondary Practice Location 1

Location 19930 O Loughlin Manor AveLas Vegas, NV 89149-1299 · Phone (202) 489-1403

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Grady Matthew Gallagher is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799205001

PECOS Enrollment IDI20250217002657

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89129 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

$173.24 typical visit price

range $57.07 – $173.24

Typical copayment $43.31 (range $14.26 – $43.31)

Most-billed visit code 99205

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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 Gallagher's NPI number?

The NPI number for Grady Gallagher is 1508500356. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Grady Gallagher located?

Grady Gallagher practices at 4021 Manning Mountain St, Las Vegas, NV 89129. The listed phone number is (202) 489-1403.

What is Grady Gallagher's specialty?

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

Is Grady Gallagher enrolled in Medicare?

Yes. Grady Gallagher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Grady Gallagher was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.