Matthew David McGrandy

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

Practice address

786 Marita Dr
Boulder City, NV 89005-3431

Phone

(702) 371-6475

NPI assigned

Nov 4, 2011

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1942587910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3047 E WARM SPRINGS RD BLDG 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203760",
            "telephone_number": "702-985-6321",
            "fax_number": "702-368-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 MARITA DR",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890053431",
            "telephone_number": "702-371-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRANDY",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galina Marine, FNP-C
• Kelley McClellan
• Marilyn McComb, DDS
• Linda McCracken
• Elijah Lee McDonald
• John Glenn McLachlan, APRN FNP
• Meaningful Gains Therapy LLC
• Derek Smith Meeks, DO
• Mark Melgaard, RPH
• Robert Merrell, MD

• Rehabilitation Psychologist in Boulder City, NV
• Providers in Boulder City, NV by specialty
• Rehabilitation Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.