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GARY J. FUSCIARDI, PHD PC
NPI 1669564837
Psychologist - Clinical in Shelby Township, MI

Active since September 28, 2006
8061 21 MILE RD, SUITE #4, SHELBY TOWNSHIP, MI 48317(586) 323-0696(586) 731-8393 Get Directions Write a Review

NPPES record last updated: June 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary J. Fusciardi, Phd Pc NPPES

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

GARY J. FUSCIARDI, PHD PC (NPI 1669564837) is a healthcare organization registered as a clinical in Shelby Township, Michigan and active in the NPI registry since September 2006. The organization lists Gary Joseph Fusciardi, Clinical Psychologist/ President, as its authorized official.

NPPES Registry Identity

NPI1669564837
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameGARY J. FUSCIARDI, PHD PC
Location Address8061 21 MILE RD, SUITE #4Shelby Township, MI 48317-4311
Mailing Address52480 Shelby RdShelby Township, MI 48316-3163 · (586) 323-0696 · Fax (586) 731-8393
Phone(586) 323-0696
Fax(586) 731-8393
Organization SubpartNo
Authorized OfficialGary Joseph FusciardiClinical Psychologist/ President · (586) 323-0696
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJune 2, 2009
✔ NPI 1669564837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301005314
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
8061 21 MILE RD, Shelby Township, MI 48317
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Other Identifiers 4

Other042893MI · Value Options Pin
Other5088220MI · Aetna Pin
Other68-0E02859-0MI · Blue Cross And Blue Shield Of Michigan
Other9496605MI · Cigna Pin

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. GARY JOSEPH FUSCIARDI PHD
Psychologist (Clinical)
8061 21 MILE RD, SUITE #4
SHELBY TOWNSHIP, MI 48317
Macomb County (586) 323-0696
STERLING HEIGHTS UTICA PODIATRISTS PC
Podiatrist (Foot & Ankle Surgery)
8061 21 MILE RD, SUITE 1&2
SHELBY TOWNSHIP, MI 48317
Macomb County (586) 254-2420

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 Gary J. Fusciardi, Phd PC's NPI number?

The NPI number for Gary J. Fusciardi, Phd PC is 1669564837. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Gary J. Fusciardi, Phd PC located?

Gary J. Fusciardi, Phd PC is located at 8061 21 Mile Rd Suite #4, Shelby Township, MI 48317. The listed phone number is (586) 323-0696.

What is Gary J. Fusciardi, Phd PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Gary J. Fusciardi, Phd PC was last updated on June 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.