MATTHEW DAVID MCGRANDY (NPI# 1942587910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942587910 |
| Entity Type | Individual |
| Full Name | MATTHEW DAVID MCGRANDY |
| Practice Address |
786 Marita Dr Boulder City NV 89005-3431 |
| Mailing Address |
3047 E Warm Springs Rd Bldg 2 Las Vegas NV 89120-3760 |
| Practice Telephone | 7023716475 |
| Mailing Telephone | 7029856321 |
| Mailing Fax Number | 7023686635 |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| Street Address |
786 MARITA DR |
| City | BOULDER CITY |
| State | NV |
| Zip Code | 89005-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763119 | Hitesh R Amin | Pharmacist | Sav-on Pharmacy, 1008 Nevada Way, Boulder City, NV 89005 | 2020-06-08 |
| 1871013086 | Wesley King | Rehabilitation Practitioner | 200 Wilson Circle, Boulder, NV 89005 | 2017-06-20 |
| 1568998714 | Bailey Godfrey | Registered Nurse | 1401 Pueblo Drive, Boulder City, NV 89005 | 2017-05-10 |
| 1972970127 | Elizabeth Anne Jones | Counselor | 202 Rainier Court, Boulder City, NV 89005 | 2015-08-24 |
| 1871913855 | Joy Reynolds | Rehabilitation Practitioner | 100 St. Jude's Street, Boulder City, NV 89005 | 2014-04-17 |
| 1710222815 | Laura Lynn Rivera | Counselor | 200 Wilson Cir, Boulder City, NV 89005 | 2012-11-30 |
| 1467723528 | Sandra Lee Miller | Community Health Worker | 659 Ave. H, Boulder City, NV 89005 | 2012-01-21 |
| 1689959272 | Eliscia Wight | Pharmacist | 101 E. Lake Mead Pkwy, Henderson, NV 89005 | 2011-10-15 |
| 1285876706 | National Park Service | Ambulance | 601 Nevada Hwy, Boulder City, NV 89005 | 2009-03-30 |
| 1861614679 | Rickey L. Smith | Pharmacist | 1008 Nevada Highway, Boulder City, NV 89005 | 2007-05-02 |
| Find all providers in zip 89005 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770833725 | Jonnie Lynn Dooley | Psychologist | 99 Wyoming St, Boulder City, NV 89005-2803 | 2012-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577624 | Caitlyn Triplett | Psychologist | 896 Glen Molly Dr, Sparks, NV 89434-3467 | 2020-10-28 |
| 1174082127 | Jocelyn Garcia | Psychologist | 7014 Voyage Dr, Sparks, NV 89436-5429 | 2019-03-19 |
| 1184183758 | Keith J Davis | Psychologist | 8113 Crimson Creek Ct, Las Vegas, NV 89139-6909 | 2019-03-13 |
| 1972072635 | Sabrina Estel Jones | Psychologist | 3825 Craig Crossing Dr Apt 3043, North Las Vegas, NV 89032-1267 | 2018-11-24 |
| 1063981926 | Dawn Marie Cheeseman | Psychologist | 1597 Ridgegate Cir, Reno, NV 89523-1220 | 2018-11-20 |
| 1902312184 | Rena Smith | Psychologist | 1344 N Jones Blvd, Las Vegas, NV 89108-1612 | 2017-12-24 |
| 1023533577 | Debra Denise Dear | Psychologist | 6347 W Eldorado Ln, Las Vegas, NV 89139-5316 | 2017-08-06 |
| 1205350006 | Omonigho Edith Usigbe | Psychologist | 2270 Losee Rd Suite B, Suite B, North Las Vegas, NV 89030 | 2017-08-02 |
| 1407380850 | Karen Petty | Psychologist | 6628 Beacon Rd, Las Vegas, NV 89108-5390 | 2017-04-12 |
| 1730610890 | Cassandra Virgil | Psychologist | 4176 Mississippi Ave, Las Vegas, NV 89103-2799 | 2017-03-21 |
| Find all providers with the same taxonomy | ||||
| City | BOULDER CITY |
| Zip Code | 89005 |
Please comment or provide details below to improve the information on MATTHEW DAVID MCGRANDY.
| 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.