Ryan D Grady

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

34093 Issued in CA

Practice address

3217 Ettrick St
Los Angeles, CA 90027-2503

Phone

(213) 927-5451

NPI assigned

Sep 12, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ryan Grady, Licensed Clinical Social Worker Inc.

  • Mental Health Counselor
  • Los Angeles, CA
  • NPI 1265272405
  NPD Authorized official
• Lamp Inc

  • Case Management Agency
  • Los Angeles, CA
  • NPI 1043344054
  NPD (past)

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1376825869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292161",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900298661",
            "telephone_number": "213-927-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 ETTRICK ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272503",
            "telephone_number": "213-927-5451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526 S San Pedro St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900132102",
            "country_code": "US",
            "telephone_number": "213-488-9559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRADY",
        "first_name": "RYAN",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-12",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "34093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plamena Gradinarova
• Stephen Grado
• Julie Grados, LAC., DAOM
• Kanosha Cree Grady, PT, DPT, LAT, ATC
• Rhumel Ilene Grady, LCSW
• Cathy Jo Graf, M.A.
• Andrew Carl Graff, D.C.
• Jenna Graff, DC
• Kevin Timothy Grafmiller
• Candace Michelle Gragnani, M.D.

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.