Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary J. Fusciardi, PHD PC

Organization Clinical Psychologist · NPI 1669564837

Gary J. Fusciardi, PHD PC is a Clinical Psychologist in Shelby Township, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8061 21 Mile Rd Ste #4
Shelby Township, MI 48317-4311
Phone: (586) 323-0696
Fax: (586) 731-8393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301005314 (MI)

Record details

NPI number1669564837
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Fusciardi — Clinical Psychologist/ President · (586) 323-0696
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJune 2, 2009
Mailing address52480 Shelby Rd, Shelby Township, MI 48316-3163

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