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Family Psychology of South Bend LLC — NPI 1083184196, South Bend, IN | NPI Central

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NPI 1083184196

OrganizationActive

Family Psychology of South Bend LLC

NPI 1083184196 · Family Psychologist · South Bend, IN

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

Family PsychologistPrimary103TF0000X
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

Practice location

922 E Wayne St Ste 205

South Bend, IN 46617-3024

Phone: (574) 280-8199

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

922 E Wayne St Ste 205

South Bend, IN 46617-3024

Other names (DBA / former)

Doing business as: Family Psychology of South Bend

Additional practice locations (1)

115 S Saint Peter St
South Bend, IN 46617-2912
Phone: (574) 280-8199

Registry dates

Enumerated: 2018-12-01
Last updated: 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.