Beacon Medical Group Pediatric Multi-specialty 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 Pediatric Multi-specialty 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 Pediatric Multi-specialty is 01065535A (Pediatrics) in Indiana. Beacon Medical Group Pediatric Multi-specialty 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 Pediatric Multi-specialty 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 Pediatric Multi-specialty
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 Pediatric Multi-specialty clinic are as mentioned below.
NPI Number:
1548415474
NPI Enumeration Date:
19 Nov, 2008
NPI Last Update On:
04 Mar, 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 Pediatric Multi-specialty are as mentioned below.
Specialization
License Number
State
Status
Pediatrics
01065535A
Indiana
Primary
Psychologist
Secondary
Clinical
Secondary
Dietitian, Registered
Secondary
Neonatal-Perinatal Medicine
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 Pediatric Multi-specialty 3245 Health Dr Ste 100, Granger, Indiana
Zip:
46530-1380
Phone Number:
574-647-1069
Fax Number:
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Patients can reach Beacon Medical Group Pediatric Multi-specialty at 100 Navarre Pl Ste 5550, South Bend, Indiana or can call to book an appointment on 574-647-2550. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.