Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Grady Matthew Gallagher

Individual provider Clinical Psychologist · NPI 1508500356

Mr. Grady Matthew Gallagher is a Clinical Psychologist in Las Vegas, Nevada. Qualified in 2023, 3 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
3
Licensed in
NV
In the registry since
2022
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Practice location Address checks out

4021 Manning Mountain St
Las Vegas, NV 89129-3257
Phone: (202) 489-1403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9930 O Loughlin Manor Ave, Las Vegas, NV 89149-1299 — (202) 489-1403

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY1229 (NV)

Record details

NPI number1508500356
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 26, 2022
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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