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

Dr. Leroy Burgess, PSYCHOLOGIST

Individual provider Health Service Psychologist · NPI 1528449964

Dr. Leroy Burgess, PSYCHOLOGIST is a Health Service Psychologist in South Bend, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2015

Practice location Address checks out

300 S Saint Louis Blvd Ste 202
South Bend, IN 46617-3044
Phone: (574) 232-1405
Fax: (574) 232-0124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Psychologist (primary) Taxonomy 103TH0100X · Licence 99066271A (IN)

Record details

NPI number1528449964
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYCHOLOGIST
Sole proprietorYes
NPI enumeratedJune 11, 2015
Last updated in NPPESJune 11, 2015

Other providers in South Bend