Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Family Psychology of South Bend LLC

Organization Mental Health Counselor · NPI 1083184196

Family Psychology of South Bend LLC is a Mental Health Counselor in South Bend, Indiana. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

922 E Wayne St Ste 205
South Bend, IN 46617-3024
Phone: (574) 280-8199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Family Psychologist (primary) Taxonomy 103TF0000X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Psychologist Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1083184196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Petersen — Manager · (574) 280-8199
Other names Family Psychology Of South Bend
NPI enumeratedDecember 1, 2018
Last updated in NPPESDecember 1, 2018
Mailing address922 E Wayne St Ste 205, South Bend, IN 46617-3024

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