Beacon Medical Group, Inc. is a Psychiatry Clinic in South Bend, Indiana. It is located at 707 N Michigan St Ste 400, South Bend, IN and its contact number is 574-647-8470. The authorized person for Beacon Medical Group, Inc. is Jeffrey P Costello
who is Vp/cfo of the clinic and his/her contact number is 574-647-3549. The primary license number for Beacon Medical Group, Inc. is 01052982A (Psychiatry) in Indiana.
Beacon Medical Group, Inc. Clinic specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Clinic Profile:
Beacon Medical Group, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Beacon Medical Group, Inc. |
| Specialization: | Psychiatry |
| Clinic Address: | 707 N Michigan St Ste 400, South Bend,
Indiana, 46601-1071 |
| Phone: | 574-647-8470 |
| Fax: | 574-647-8475 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Jeffrey P Costello |
| Position: | Vp/cfo |
| Contact Number: | 574-647-3549 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Beacon Medical Group, Inc. clinic are as mentioned below.
| NPI Number: | 1629376645 |
| NPI Enumeration Date: | 01 Mar, 2011 |
| NPI Last Update On: | 22 Feb, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Beacon Medical Group, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychiatry | 01052982A | Indiana | Primary | |
| Psych/Mental Health | | | Secondary | |
| Family Medicine | | | Secondary | |
| Child & Adolescent Psychiatry | 01052982A | Indiana | Secondary | |
| Geriatric Psychiatry | 01052982A | Indiana | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 201013730A | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Beacon Medical Group, Inc.
710 N Niles Ave,
South Bend, Indiana |
| Zip: | 46617-1924 |
| Phone Number: | 574-647-1610 |
| Fax Number: | -- |
Patients can reach Beacon Medical Group, Inc. at
707 N Michigan St Ste 400, South Bend, Indiana or can
call to book an appointment on 574-647-8470.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.