Marie K Udulutch, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20040909A Issued in IN

Practice address

707 N Michigan St
Ste. 400
South Bend, IN 46601-1067

Phone

(574) 647-1068

NPI assigned

Dec 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Peter C. Jackson, PSYD Consulting, SC

  • Clinical Psychologist
  • Madison, WI
  • NPI 1881058675
  NPD
• Beacon Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • South Bend, IN
  • NPI 1831149525
  NPD (past)
• Memorial Health System, Inc.

  • Physical Therapist
  • La Porte, IN
  • NPI 1013133487
  NPD (past)

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851376149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 N MICHIGAN ST",
            "address_2": "STE. 200",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011244",
            "telephone_number": "574-647-1845",
            "fax_number": "574-647-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N MICHIGAN ST",
            "address_2": "STE. 400",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011067",
            "telephone_number": "574-647-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDULUTCH",
        "first_name": "MARIE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040909A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• U.S. Healthworks Medical Group of Indiana, PC
• Kayra Gizem Ucpinar
• Khutb Mohammed Uddin, MD
• Mairaj Uddin, M.D.M.P.H.
• Francesca E Udoh, NP
• Stephanie Ufkin, NP-C
• Theresa Uhrich, MSW
• Ignatius Kizito Ukatu
• Ogenna Agatha Umeh
• Unchained Physical Therapy & Wellness

• All providers in South Bend, IN
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.