Gregory Pouliot
PHD | Clinical Psychologist | 11+ years Exp
714 N Michigan St, South Bend
Indiana, 46601-1035
574-647-7477 574-647-3655
Maps & DirectionsGregory Pouliot is a South Bend, Indiana based psychologist with 11 years of experience in Clinical Psychology. He completed his graduation in 2014. He is also affiliated with hospitals like He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Gregory Pouliot is 20042945A for Clinical Psychology in Indiana. His current practice location is 714 N Michigan St, South Bend. Patients can reach him at 574-647-7477 or can fax him at 574-647-3655. Gregory Pouliot is PHD in Clinical Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1336549328.
Gregory Pouliot is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). His main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that he can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Gregory Pouliot speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Gregory Pouliot |
| Specialization: | Clinical Psychology |
| Gender: | Male |
| Credentials: | PHD |
| Experience: | 11+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2014 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 714 N Michigan St, South Bend,
Indiana, 46601-1035 |
| Phone: | 574-647-7477 |
| Fax: | 574-647-3655 |
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 are as mentioned below.
| PAC ID: | 5890083646 |
| Enrollment ID: | I20161011000133 |
| NPI Number: | 1336549328 |
| NPI Enumeration Date: | 27 Aug, 2014 |
| NPI Last Update On: | 31 Mar, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gregory Pouliot are as mentioned below.
| License Number | Specialization | State | Status | |
| 20042945A | Clinical Psychology | Indiana | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (150058) | South bend, IN | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Gregory Pouliot is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Beacon Medical Group Inc (1254243306) | 416 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Gregory Pouliot such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 201392530 | 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: | Gregory Pouliot
710 N Niles Ave,
South Bend, Indiana |
| Zip: | 46617-1924 |
| Phone Number: | 574-647-1610 |
| Fax Number: | 574-237-6069 |
Patients can reach Gregory Pouliot at
714 N Michigan St, South Bend, Indiana or can
call to book an appointment on 574-647-7477.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.