Anthony Louis Berardi, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20010290A Issued in IN

Practice address

218 W Washington St Ste 400
South Bend, IN 46601-1829

Phone

(572) 232-1405

Fax

(574) 232-0124

NPI assigned

May 4, 2006

Last updated

Jan 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anthony L Berardi, PHD PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Bend, IN
  • NPI 1437421435
  Medicare reassignment NPD Authorized official
• Family Learning Center

  • Clinical Psychologist
  • South Bend, IN
  • NPI 1366490161
  NPD (past) Authorized official
• Interbeing, LLC

  • Community/Behavioral Health Agency
  • South Bend, IN
  • NPI 1902042484
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1316995095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W WASHINGTON ST STE 400",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011829",
            "telephone_number": "574-232-1405",
            "fax_number": "574-232-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W WASHINGTON ST STE 400",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011829",
            "telephone_number": "572-232-1405",
            "fax_number": "574-232-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARDI",
        "first_name": "ANTHONY",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20010290A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100095590",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Azzedine Benchaar, PHARM.D.
• Hailee Michelle Benedict-Creager
• Crystal S Beneker, FNP
• Andriana Nadia Benge, FNP-C
• Catherine A. Bennett, DNP, APRN-BC
• Deborah M Berger, BSN RN
• Troy Bergin, M.D.
• Andrew R Berkson, DO
• Matthew Joseph Bernard, DMD
• Harold E Bernt, LCSW

• Clinical Psychologist in South Bend, IN
• Providers in South Bend, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.