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FAMILY PSYCHOLOGY OF SOUTH BEND LLC
NPI 1083184196
Psychologist - Family in South Bend, IN

Active since December 01, 2018
922 E WAYNE ST STE 205, SOUTH BEND, IN 46617(574) 280-8199 Get Directions Write a Review

NPPES record last updated: December 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Psychology Of South Bend Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY PSYCHOLOGY OF SOUTH BEND LLC (NPI 1083184196), doing business as Family Psychology Of South Bend, is a healthcare organization registered as a family in South Bend, Indiana and active in the NPI registry since December 2018. The organization maintains a secondary practice location in South Bend and lists John Anthony Petersen, Manager, as its authorized official.

NPPES Registry Identity

NPI1083184196
Entity TypeOrganization
Primary Taxonomy103TF0000X
Legal Business NameFAMILY PSYCHOLOGY OF SOUTH BEND LLC
Location Address922 E WAYNE ST STE 205South Bend, IN 46617-3024
Mailing Address922 E Wayne St Ste 205South Bend, IN 46617-3024 · (574) 280-8199
Phone(574) 280-8199
Organization SubpartNo
Authorized OfficialJohn Anthony PetersenManager · (574) 280-8199
Enumeration DateDecember 1, 2018
✔ NPI 1083184196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · FamilyBehavioral Health & Social Service Providers
Taxonomy Code103TF0000X
Definition
A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
922 E WAYNE ST STE 205, South Bend, IN 46617
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Other Names 1

Doing Business AsFamily Psychology Of South Bend

Secondary Practice Location 1

Location 1115 S Saint Peter StSouth Bend, IN 46617-2912 · Phone (574) 280-8199 ext. 2

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Psychology Of South Bend LLC's NPI number?

The NPI number for Family Psychology Of South Bend LLC is 1083184196. It was assigned to this organization in the NPPES registry on December 1, 2018. The provider is doing business as Family Psychology of South Bend.

Where is Family Psychology Of South Bend LLC located?

Family Psychology Of South Bend LLC is located at 922 E Wayne St Ste 205, South Bend, IN 46617. The listed phone number is (574) 280-8199.

What is Family Psychology Of South Bend LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Family, with taxonomy code 103TF0000X.

What insurance does Family Psychology Of South Bend LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Family Psychology Of South Bend LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family Psychology Of South Bend LLC was last updated on December 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.