Active NPI
Michael Robert Ogrady, LPT
- Licensed Psychiatric Technician
- Pasadena, CA
National Provider Identifier
1811216849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- LPT32486
- Practice address
- 2555 E Colorado Blvd
Suite 100
Pasadena, CA 91107-6622 - Phone
- (626) 577-2261
- Fax
- (626) 577-2354
- NPI assigned
- Jun 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | LPT32486 | CA | Primary |
Addresses
Primary practice location
2555 E Colorado Blvd
Suite 100
Pasadena, CA 91107-6622
Mailing address
517 San Julian St
No. 454
Los Angeles, CA 90013-1547
Phone (323) 360-6762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ICAN960 | Other | CA | LA COUNTY DMH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT32486 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275350400000",
"number": "1811216849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 SAN JULIAN ST",
"address_2": "NO. 454",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131547",
"telephone_number": "323-360-6762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 E COLORADO BLVD",
"address_2": "SUITE 100",
"city": "PASADENA",
"state": "CA",
"postal_code": "911076622",
"telephone_number": "626-577-2261",
"fax_number": "626-577-2354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGRADY",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-01",
"last_updated": "2010-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "LPT32486",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA COUNTY DMH",
"identifier": "ICAN960",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.