DR. GRADY DALE JR. (NPI# 1144350653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144350653 |
| Entity Type | Individual |
| Full Name | DR. GRADY DALE JR. |
| Credential | EDD |
| Practice Address |
4419 Falls Road Falls Lane Medical Center Ste E Baltimore MD 21211-1226 |
| Practice Telephone | 4105780336 |
| Practice Fax Number | 4103610651 |
| Mailing Telephone | 4105780336 |
| Mailing Fax Number | 4103610651 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1611 | MD | Behavioral Health & Social Service Providers |
| Street Address |
4419 FALLS ROAD FALLS LANE MEDICAL CENTER STE E |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21211-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944085 | Alan Jay Kleiman | Podiatrist | 4419 Falls Road, Suite A, Baltimore, MD 21211-1298 | 2005-07-07 |
| 1972779023 | Douglas Brian Woodruff | Psychiatry & Neurology | 4419 Falls Road, Suite E, Baltimore, MD 21211-1226 | 2008-05-07 |
| 1992977169 | Deborah Eisenberg | Social Worker | 4419 Falls Road, Unit C, Baltimore, MD 21211 | 2008-03-28 |
| 1326089012 | Chiau Wen Hsiao | Surgery | 4419 Falls Road, Baltimore, MD 21211 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308322 | Deep Roots Wellness | Social Worker | 733 W. 40th Street, Print Shop Building Suite 20, Baltimore, MD 21211 | 2019-10-24 |
| 1194214981 | Heather Carr Bergan | Physical Therapy Assistant | Roland Park Place Rehab Dept., 830 W 40th St, Baltimore, MD 21211 | 2018-05-07 |
| 1427546100 | Rebecca Meredith | Student in an Organized Health Care Education/Training Program | 843 Powers St, Baltimore, MD 21211 | 2018-04-27 |
| 1851896534 | Dexter Kendrick | Acupuncturist | 2700 Reminton Ave, Baltimore, MD 21211 | 2018-03-26 |
| 1770092678 | Bethany Grove | Counselor | 3433 Chestnut Ave, Baltimore, MD 21211 | 2017-09-22 |
| 1184140857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2700 Remington Ave Ste 500, Baltimore, MD 21211 | 2017-08-15 |
| 1528589116 | Natalie C Hung | Psychologist | 623 W 34th St Ste 105, Baltimore, MD 21211 | 2017-07-05 |
| 1003359332 | Hannah Elise Rose | Counselor | 711 W 40th Street, Suite 425, Baltimore, MD 21211 | 2016-11-17 |
| 1376091876 | Penelope Kaikis | Speech-Language Pathologist | 3825 Greenspring Avenue, Baltimore, MD 21211 | 2016-09-14 |
| 1265862429 | Alexandra Theo Samets | Social Worker | The Baltimore Center for Psychotherapy, 623 West 34th Street #105, Baltimore, MD 21211 | 2013-11-25 |
| Find all providers in zip 21211 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1821617648 | Deborah Antonia Drummer | Psychologist | 1608 Burnwood Rd, Baltimore, MD 21239-3603 | 2020-04-11 |
| 1669091823 | Catherine Marie Corno Garofano | Psychologist | 10 N Greene St # 6d109, Baltimore, MD 21201-1524 | 2020-04-08 |
| 1184251969 | One Healing Education and Renewing Through Therapy | Psychologist | 210 E Lexington St. Suite 400, Suite 400, Baltimore, MD 21202-0000 | 2020-03-24 |
| 1376176974 | Jennifer May Lorenzo | Psychologist | 209 W Fayette St Fl 4, Baltimore, MD 21201-3403 | 2020-02-21 |
| 1235774878 | Sarah E Ryan | Psychologist | 707 Grundy St, Baltimore, MD 21224-4344 | 2019-11-07 |
| 1205494200 | Ophira Weiskopf | Psychologist | 3705 W Rogers Ave, Baltimore, MD 21215-4525 | 2019-06-04 |
| 1487129813 | Mental Health Assessment and Wellness, LLC | Psychologist | 5911 York Rd Ste 100, Baltimore, MD 21212-3048 | 2018-10-12 |
| 1023594017 | Yaakov Shugarman | Psychologist | 5603 Newbury St, Baltimore, MD 21209-3603 | 2018-07-13 |
| 1285140541 | Omolara Akinrinade | Psychologist | 6722 Valley Creek Dr, Baltimore, MD 21207-5319 | 2017-12-22 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.