MICHAEL MCCLUSKY NPI 1912771833

NPI Information

  • NPI: 1912771833
  • Provider Name: MICHAEL MCCLUSKY
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 921 2ND AVE S
    FARGO, ND
    ZIP 58103
  • Phone: (121) 879-0844

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NPI Details

Michael Mcclusky is a peer specialist in Fargo, ND. The provider is 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. Michael Mcclusky NPI is 1912771833. 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:

921 2ND AVE S
FARGO, ND
ZIP 58103-705
Phone: (121) 879-0844

The enumeration date for this NPI number is 11/10/2023 and was last updated on 11/10/2023.

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
1175T00000XPeer SpecialistYes

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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