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

Memorial Health System, Inc

Organization Developmental - Behavioral Pediatrics Physician · NPI 1346290103

Memorial Health System, Inc is a Developmental - Behavioral Pediatrics Physician in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

809 N Michigan St
South Bend, IN 46601-1088
Phone: (574) 647-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence 01060385A (IN)

Record details

NPI number1346290103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp-Cfo · (574) 647-3549
Other names Developmental Pediatrics
NPI enumeratedMay 11, 2006
Last updated in NPPESMarch 9, 2016
Mailing address710 N Niles Ave, South Bend, IN 46617-1924