Family Psychology of South Bend LLC
NPI 1083184196 · Family Psychologist · South Bend, IN
Family Psychology of South Bend LLC is a Family Psychologist organization in South Bend, IN (NPI 1083184196).
Provider details
- NPI number
- 1083184196
- Entity type
- Organization
- Primary specialty
- Family PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- John Petersen, Manager(574) 280-8199
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Family Psychology of South Bend
Additional practice locations (1)
- 115 S Saint Peter StSouth Bend, IN 46617-2912Phone: (574) 280-8199
Registry dates
- Enumerated
- 2018-12-01
- Last updated
- 2018-12-01
Frequently asked questions
- What is Family Psychology of South Bend LLC's NPI number?
- Family Psychology of South Bend LLC's National Provider Identifier (NPI) is 1083184196, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Psychology of South Bend LLC?
- Family Psychology of South Bend LLC is classified in the NPPES registry as Family Psychologist (Behavioral Health & Social Service Providers).
- Where is Family Psychology of South Bend LLC located?
- Family Psychology of South Bend LLC's practice location on file with NPPES is 922 E Wayne St Ste 205, South Bend, IN 46617-3024.
- What is Family Psychology of South Bend LLC's phone number?
- The practice phone number listed in the NPPES registry for Family Psychology of South Bend LLC is (574) 280-8199.
- Who is the authorized official for Family Psychology of South Bend LLC?
- The authorized official listed on Family Psychology of South Bend LLC's NPPES record is John Petersen, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Psychology of South Bend LLC's NPI active?
- Yes — Family Psychology of South Bend LLC's NPI (1083184196) is active in the NPPES registry as of the last update on 2018-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.