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SOUTH BEND BEHAVIORAL HEALTH LLC
NPI 1659842490
Clinic/Center - Developmental Disabilities in South Bend, IN

Active since December 05, 2018
701 N NILES AVE, SOUTH BEND, IN 46617(843) 609-5885 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Bend Behavioral Health Llc NPPES

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

SOUTH BEND BEHAVIORAL HEALTH LLC (NPI 1659842490) is a healthcare organization registered as a developmental disabilities in South Bend, Indiana and active in the NPI registry since December 2018. The organization lists Joshua Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659842490
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameSOUTH BEND BEHAVIORAL HEALTH LLC
Location Address701 N NILES AVESouth Bend, IN 46617-1923
Mailing Address701 N Niles AveSouth Bend, IN 46617-1923 · (843) 609-5885
Phone(843) 609-5885
Organization SubpartNo
Authorized OfficialJoshua SmithCeo · (843) 609-5885
Enumeration DateDecember 5, 2018
✔ NPI 1659842490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
701 N NILES AVE, South Bend, IN 46617
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Other Providers at the Same Location NPPES 7

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

GREAT LAKES BEHAVIORAL SERVICES
Behavior Analyst
701 N NILES AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 393-9955
RIVERBEND BEHAVIORAL HEALTH, LLC
Clinic/Center (Multi-Specialty)
701 N NILES AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 318-5684
RIVERBEND BEHAVIORAL HEALTH, LLC
Residential Treatment Facility, Emotionally Disturbed Children
701 N NILES AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 318-5684
NAOMI MILLIGAN BCBA
Behavior Analyst
701 N NILES AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 302-4669
AYESHAH OVALLE MAHMOOD LMHC
Counselor (Mental Health)
701 N NILES AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 406-1520
RANDY NIMS MA
Counselor
701 N NILES AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
CARRIE CURTIS
Behavior Technician
701 N NILES AVE
SOUTH BEND, IN 46617
St. Joseph County (513) 638-0303

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 South Bend Behavioral Health LLC's NPI number?

The NPI number for South Bend Behavioral Health LLC is 1659842490. It was assigned to this organization in the NPPES registry on December 5, 2018.

Where is South Bend Behavioral Health LLC located?

South Bend Behavioral Health LLC is located at 701 N Niles Ave, South Bend, IN 46617. The listed phone number is (843) 609-5885.

What is South Bend Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for South Bend Behavioral Health LLC was last updated on December 5, 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.