Organization Active NPI

Gmgpsychology

  • Clinical Psychologist
  • Las Vegas, NV
National Provider Identifier
1063221034
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GMGPSYCHOLOGY
Practice address
9930 O Loughlin Manor Ave
Las Vegas, NV 89149-1299
Phone
(202) 489-1403
NPI assigned
Jan 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Grady Matthew Gallagher, PH.D.NPI 1508500356
Title
Licensed Clinical Psychologist
Phone
(202) 489-1403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

9930 O Loughlin Manor Ave
Las Vegas, NV 89149-1299

Mailing address

8414 Farm Road
Ste 180 #1024
Las Vegas, NV 89131-8007
Phone (202) 489-1403

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735948800000",
    "number": "1063221034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 FARM ROAD",
            "address_2": "STE 180 #1024",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891318007",
            "telephone_number": "202-489-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 O LOUGHLIN MANOR AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891491299",
            "telephone_number": "202-489-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMGPSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "GRADY",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "202-489-1403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.