MR. MICHAEL EDWARD BAGLEY SUDCC 2 NPI 1396868295

NPI Information

  • NPI: 1396868295
  • Provider Name: MR. MICHAEL EDWARD BAGLEY, SUDCC 2
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1028 RENO AVE
    MODESTO, CA
    ZIP 95351
  • Phone: (209) 579-1103

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NPI Details

MR. Michael Edward Bagley, SUDCC 2 is an addiction (substance use disorder) counselor in Modesto, CA. MR. Michael Edward Bagley, SUDCC 2 NPI is 1396868295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1028 RENO AVE
MODESTO, CA
ZIP 95351-127
Phone: (209) 579-1103
Fax: (209) 578-1085

The enumeration date for this NPI number is 4/8/2007 and was last updated on 7/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)5819CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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