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MR. MICHAEL EDWARD BAGLEY SUDCC 2
NPI 1396868295
Counselor - Addiction (Substance Use Disorder) in Modesto, CA

Active since April 08, 2007
1028 RENO AVE, MODESTO, CA 95351(209) 579-1103(209) 578-1085 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Edward Bagley Sudcc 2 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL EDWARD BAGLEY SUDCC 2 (NPI 1396868295) is an individual addiction (substance use disorder) provider in Modesto, California, licensed in California (5819) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1396868295
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MICHAEL EDWARD BAGLEYCredential: SUDCC 2
Location Address1028 RENO AVEModesto, CA 95351-1127
Mailing Address1305 Oakridge DrModesto, CA 95351-4847 · (209) 402-0216 · Fax (209) 578-1085
Phone(209) 579-1103
Fax(209) 578-1085
Sole ProprietorYes
Enumeration DateApril 8, 2007
Last NPPES UpdateJuly 31, 2019
✔ NPI 1396868295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 5819
1028 RENO AVE, Modesto, CA 95351
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT CARL THOMPSON
Counselor (Addiction (Substance Use Disorder))
1028 RENO AVE
MODESTO, CA 95351
Stanislaus County (209) 579-1103
JERRY FARMER
Counselor (Addiction (Substance Use Disorder))
1028 RENO AVE
MODESTO, CA 95351
Stanislaus County (209) 579-1103
VICTOR MARTINEZ
Counselor (Addiction (Substance Use Disorder))
1028 RENO AVE
MODESTO, CA 95351
Stanislaus County (209) 579-1151
MR. MARK NEWMAN SR.
Counselor (Addiction (Substance Use Disorder))
1028 RENO AVE
MODESTO, CA 95351
Stanislaus County (209) 578-1103
ELIZABETH TILLMAN
Counselor (Addiction (Substance Use Disorder))
1028 RENO AVE
MODESTO, CA 95351
Stanislaus County (209) 579-1103
ALAN GLAVAZ
Counselor (Addiction (Substance Use Disorder))
1028 RENO AVE
MODESTO, CA 95351
Stanislaus County (209) 579-1103
ROBERT CHAPMAN
Counselor (Addiction (Substance Use Disorder))
1028 RENO AVE
MODESTO, CA 95351
Stanislaus County (209) 579-1103
DAVID RIVERA
Counselor (Addiction (Substance Use Disorder))
1028 RENO AVE
MODESTO, CA 95351
Stanislaus County (209) 579-1103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Bagley's NPI number?

The NPI number for Michael Bagley is 1396868295. It was assigned to this individual provider in the NPPES registry on April 8, 2007.

Where is Michael Bagley located?

Michael Bagley practices at 1028 Reno Ave, Modesto, CA 95351. The listed phone number is (209) 579-1103.

What is Michael Bagley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Michael Bagley was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.