NPIMap

Organization Active NPI

Family Learning Center

  • Clinical Psychologist
  • South Bend, IN
National Provider Identifier
1366490161
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20010290A Issued in IN
Legal business name
FAMILY LEARNING CENTER
Practice address
211 W Washington St
Suite 1910
South Bend, IN 46601-1704
Phone
(574) 232-1405
Fax
(574) 232-0124
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Anthony Louis Berardi, PH.D.NPI 1316995095
Title
Clinical Psychologist/Co-Director
Phone
(574) 232-1405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 20010290A IN Primary

Addresses

Primary practice location

211 W Washington St
Suite 1910
South Bend, IN 46601-1704

Mailing address

211 W Washington St
Suite 1910
South Bend, IN 46601-1704
Phone (574) 232-1405

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1366490161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W WASHINGTON ST",
            "address_2": "SUITE 1910",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011704",
            "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": "211 W WASHINGTON ST",
            "address_2": "SUITE 1910",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011704",
            "telephone_number": "574-232-1405",
            "fax_number": "574-232-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "BERARDI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/CO-DIRECTOR",
        "authorized_official_telephone_number": "574-232-1405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20010290A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.