1. Home
  2. Directory
  3. Michigan
  4. Southgate
  5. Peer Specialist
  6. NPI Profile

NICOLE LYNN SCULLY
NPI 1992354039
Peer Specialist in Southgate, MI

Active since September 11, 2019
13101 ALLEN RD, SOUTHGATE, MI 48195(734) 785-7700 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2025, Sep 11, 2019 (2 updates tracked since 2019).

About Nicole Lynn Scully NPPES

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

NICOLE LYNN SCULLY (NPI 1992354039) is an individual peer specialist in Southgate, Michigan and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1992354039
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameNICOLE LYNN SCULLY
Location Address13101 ALLEN RDSouthgate, MI 48195-2216
Mailing Address13101 Allen RdSouthgate, MI 48195-2216 · (734) 785-7700
Phone(734) 785-7700
Sole ProprietorNo
Enumeration DateSeptember 11, 2019
Last NPPES UpdateAugust 19, 20252 updates tracked since enumeration
NPPES CertifiedAugust 3, 2025
✔ NPI 1992354039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
13101 ALLEN RD, Southgate, MI 48195
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

LORI SUE MITCHELL RN
Registered Nurse
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7731
SHANNON BAYNAI
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
MISS RENEE GOLDSBY
Case Manager/Care Coordinator
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 486-3199
POONAM SHYAM MELWANI
Social Worker
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
MR. JAMES GERARD LIVINGSTON LLMSW
Social Worker (Clinical)
13101 ALLEN RD, SUITE 400
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
VICKIE LYNN NOVELL LMSW
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
CLAUDETTE JEFFERSON LMSW
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
RICKY DAVIS QMHS-B
Case Manager/Care Coordinator
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700

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 Nicole Scully's NPI number?

The NPI number for Nicole Scully is 1992354039. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Where is Nicole Scully located?

Nicole Scully practices at 13101 Allen Rd, Southgate, MI 48195. The listed phone number is (734) 785-7700.

What is Nicole Scully's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Nicole Scully was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.