BEACON MEDICAL GROUP BEHAVIORAL HEALTH SOUTH BEND – NPI #1629376645
Psychiatry & Neurology
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.
BEACON MEDICAL GROUP BEHAVIORAL HEALTH SOUTH BEND is a psychiatry & neurologist located in SOUTH BEND, IN. NPPES has assigned the NPI number 1629376645 to BEACON MEDICAL GROUP BEHAVIORAL HEALTH SOUTH BEND on March 01, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEACON MEDICAL GROUP BEHAVIORAL HEALTH SOUTH BEND” is a dba name, the actual legal business name for this organization is BEACON MEDICAL GROUP, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 2 years ago on Feb 22, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEACON MEDICAL GROUP BEHAVIORAL HEALTH SOUTH BEND below.
NPI Profile for
BEACON MEDICAL GROUP, INC.
(more than 15 years ago)
SOUTH BEND, IN 46601-1071 Phone: (574) 647-8470 Fax: (574) 647-8475
SOUTH BEND, IN 46617-1924 Phone: (574) 647-1610 Fax:
VP/CFO
Phone: (574) 647-3549
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for BEACON MEDICAL GROUP BEHAVIORAL HEALTH SOUTH BEND
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | IN | 201013730A |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2084P0800X - Psychiatry & Neurology / Psychiatry (Primary) |
IN | 01052982A |
| 363LP0808X - Nurse Practitioner / Psychiatric/Mental Health |
||
| 2084P0805X - Psychiatry & Neurology / Geriatric Psychiatry |
IN | 01052982A |
| 2084P0804X - Psychiatry & Neurology / Child & Adolescent Psychiatry |
IN | 01052982A |
| 207Q00000X - Family Medicine |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.