National Provider Identifier Database

BEACON MEDICAL GROUP INC
Psychiatry

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.


Contact Information

BEACON MEDICAL GROUP, INC.
707 N MICHIGAN ST STE 400
SOUTH BEND, IN46601-1071
Phone: 574-647-8470
Fax: 574-647-8475
Website:
Specialty Taxonomy Code
* Psychiatry 2084P0800X
Child & Adolescent Psychiatry 2084P0804X
Family Medicine 207Q00000X
Geriatric Psychiatry 2084P0805X
Psychiatric/Mental Health 363LP0808X

* Indicates primary specialty

NPI Profile & details for BEACON MEDICAL GROUP, INC.

NPI Number 1629376645
Legal business name
LBN
BEACON MEDICAL GROUP, INC.
Authorized official JEFFREY COSTELLO - (VP/CFO)
Entity Organization
Organization subpart No
Enumeration date 03/01/2011
Last updated 02/22/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 01052982A
  • IN Medicaid: 201013730A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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