Beacon Medical Group, Inc. is a Psychology Clinic in South Bend, Indiana. It is located at 100 Navarre Pl Ste 5550, South Bend, IN and its contact number is 574-647-2550. The authorized person for Beacon Medical Group, Inc. is Mr. Jeffrey P Costello
who is Vice President/cfo of the clinic and his/her contact number is 574-647-3549. The primary license number for Beacon Medical Group, Inc. is 01065535A (Pediatrics) in Indiana.
Beacon Medical Group, Inc. Clinic specialize in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
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: | General Psychology |
| Clinic Address: | 100 Navarre Pl Ste 5550, South Bend,
Indiana, 46601-1169 |
| Phone: | 574-647-2550 |
| Fax: | 574-647-1129 |
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: | Mr. Jeffrey P Costello |
| Position: | Vice President/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: | 1548415474 |
| NPI Enumeration Date: | 19 Nov, 2008 |
| NPI Last Update On: | 21 Jul, 2025 |
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 | |
| Pediatrics | 01065535A | Indiana | Primary | |
| Psychologist | | | Secondary | |
| Clinical | | | Secondary | |
| Dietitian, Registered | | | Secondary | |
| Neonatal-Perinatal Medicine | | | Secondary | |
| Pediatric Pulmonology | | | Secondary | |
| Nurse Practitioner | | | 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 |
| 200928880A | Medicaid | Indiana | |
| 300069919 | 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.
3245 Health Dr Ste 100,
Granger, Indiana |
| Zip: | 46530-1380 |
| Phone Number: | 574-647-1069 |
| Fax Number: | -- |
Patients can reach Beacon Medical Group, Inc. at
100 Navarre Pl Ste 5550, South Bend, Indiana or can
call to book an appointment on 574-647-2550.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.