BEACON MEDICAL GROUP BEHAVIORAL HEALTH SOUTH BEND
NPI 1629376645
Psychiatry & Neurology - Psychiatry in South Bend, IN

Q: What is Beacon Medical Group, Inc.'s NPI number?

The NPI number for Beacon Medical Group, Inc. is 1629376645. It was assigned to this organization in the NPPES registry on March 1, 2011. The provider is doing business as Beacon Medical Group Behavioral Health South Bend.

Q: What is Beacon Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since March 01, 2011

707 N MICHIGAN ST STE 400, SOUTH BEND, IN 46601(574) 647-8470(574) 647-8475 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Beacon Medical Group Behavioral Health South Bend NPPES

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

BEACON MEDICAL GROUP BEHAVIORAL HEALTH SOUTH BEND (NPI 1629376645) is a healthcare organization registered as a psychiatry in South Bend, Indiana and active in the NPI registry since March 2011. The organization lists Jeffrey P Costello, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1629376645

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameBEACON MEDICAL GROUP, INC.

Location Address707 N MICHIGAN ST STE 400South Bend, IN 46601-1071

Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610

Phone(574) 647-8470

Fax(574) 647-8475

Organization SubpartNo

Authorized OfficialJeffrey P CostelloVp/cfo · (574) 647-3549

Enumeration DateMarch 1, 2011

Last NPPES UpdateFebruary 22, 2024

NPPES CertifiedFebruary 22, 2024

✔ NPI 1629376645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in IN · 01052982A

Definition

A Psychiatrist 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.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 01052982A (IN)

Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 01052982A (IN)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

707 N MICHIGAN ST STE 400, South Bend, IN 46601

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Other Names 1

Doing Business AsBeacon Medical Group Behavioral Health South Bend

Other Identifiers 1

Medicaid201013730AIN

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WENDI CIESIELSKA APRN

Nurse Practitioner (Psychiatric/Mental Health)