Beacon Medical Group Behavioral Health South Bend 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 Behavioral Health South Bend 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 Behavioral Health South Bend is 01052982A (Psychiatry) in Indiana. Beacon Medical Group Behavioral Health South Bend 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 Behavioral Health South Bend 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 Behavioral Health South Bend
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 Behavioral Health South Bend 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 Behavioral Health South Bend are as mentioned below.
Specialization
License Number
State
Status
Psychiatry
01052982A
Indiana
Primary
Family Medicine
Secondary
Child & Adolescent Psychiatry
01052982A
Indiana
Secondary
Geriatric Psychiatry
01052982A
Indiana
Secondary
Psych/Mental Health
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 Behavioral Health South Bend 710 N Niles Ave, South Bend, Indiana
Zip:
46617-1924
Phone Number:
574-647-1610
Fax Number:
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Patients can reach Beacon Medical Group Behavioral Health South Bend at 707 N Michigan St Ste 400, South Bend, Indiana or can call to book an appointment on 574-647-8470. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.