Anthony L Berardi, Phd Pc
LBN: Anthony L Berardi, Phd Pc
Anthony L Berardi, Phd Pc is an health care organization with primary practice located at 300 S Saint Louis Blvd Suite 202, South Bend IN 46617-3043. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Anthony L Berardi, Phd Pc can be contacted via phone (574) 232-1405, or through Berardi, Anthony Louis via phone (574) 232-1405.
Contact Information
Primary practice address
300 S Saint Louis Blvd Suite 202
South Bend IN 46617-3043
Phone: (574) 232-1405
Fax: (574) 232-0124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 20010290A | Indiana |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 6301006300 | Michigan |
Profile Details
| NPI number | 1437421435 |
|---|---|
| LBN Legal business name | Anthony L Berardi, Phd Pc |
| DBA Doing business as | |
| Authorized official | Berardi, Anthony Louis PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 7th, 2012 |
| Last updated | Aug 4th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437421435 | NPPES |
| Indiana | Other | M100064411 | MEDICARE PTAN |
| Indiana | MEDICAID | 201052000 A | MEDICARE PTAN |
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