Anthony L Berardi, PHD PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

20010290A Issued in IN

Legal business name

ANTHONY L BERARDI, PHD PC

Practice address

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

Phone

(574) 232-1405

Fax

(574) 232-0124

NPI assigned

Feb 7, 2012

Last updated

Jan 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony Louis Berardi, PHDNPI 1316995095

Title

President Ceo

Phone

(574) 232-1405

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Louis Berardi, PHD

  • Clinical Psychologist
  • South Bend, IN
  • NPI 1316995095
  Medicare reassignment NPD Authorized official
• Donald S. Gentner, M.S.,LCSW

  • Mental Health Counselor
  • South Bend, IN
  • NPI 1366492829
  NPD (past)

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1437421435",
    "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": "574-232-1405",
            "fax_number": "574-232-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY L BERARDI, PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "BERARDI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "574-232-1405",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6301006300",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IN",
            "license": "20010290A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201052000 A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M100064411",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in South Bend, IN
• Providers in South Bend, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.