Individual provider Active NPI

Gail Carolyn Brady, MD

  • Psychiatry Physician
  • Oak Park, CA
National Provider Identifier
1609858141
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C51588 Issued in CA
Practice address
638 Lindero Canyon Rd Ste 326
Oak Park, CA 91377-5457
Phone
(310) 601-4839
NPI assigned
Nov 18, 2005
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C51588 CA Primary
Psychiatry Physician 2084P0800X 016401 LA

Addresses

Primary practice location

638 Lindero Canyon Rd Ste 326
Oak Park, CA 91377-5457

Mailing address

638 Lindero Canyon Rd Ste 326
Oak Park, CA 91377-5457
Phone (310) 601-4839

Other identifiers 1

IdentifierTypeStateIssuer
1983772MedicaidLA

Other names 1

  • Gail Carolyn Brady Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110714000857 CA Practitioner - Psychiatry 8921184433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tulane University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tarzana Treatment Centers IncGroup PAC ID 5991897845, 55 clinicians

Practice addresses (Care Compare)

18646 Oxnard St
Tarzana, CA 91356-1411
Phone (800) 996-1051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C51588CAMDPsychiatry Physician
016401LAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tarzana Treatment Centers, Inc. Current Accepting new patients
Tarzana Treatment Centers, Inc CurrentSince Jan 1, 2014 Accepting new patients
Tarzana Treatment Centers, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Nate Newman PH D BCD LCSW PC PastSince Sep 1, 1992 Accepting new patients

Locations

8330 Reseda Blvd
Northridge, CA 91324
Phone (818) 534-1820

7101 Baird Ave
Reseda, CA 91335
Phone (818) 342-2897

18646 Oxnard St
Tarzana, CA 91356
Phone (818) 654-3815

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1609858141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 LINDERO CANYON RD STE 326",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913775457",
            "telephone_number": "310-601-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 LINDERO CANYON RD STE 326",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913775457",
            "telephone_number": "310-601-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "GAIL",
        "middle_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C51588",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "016401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1983772",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAIL",
            "last_name": "BRADY",
            "middle_name": "CAROLYN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Park, CA

Sources for this page

Verify at the official NPI Registry.