Organization
ANTHONY L BERARDI, PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY LOUIS BERARDI PHD (PRESIDENT CEO)
(574) 232-1405
Entity
Organization
Contact information
Practice address
218 W WASHINGTON ST STE 400, SOUTH BEND, IN 46601-1829
(574) 232-1405
(574) 232-0124
Mailing address
218 W WASHINGTON ST STE 400, SOUTH BEND, IN 46601-1829
(574) 232-1405
(574) 232-0124
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
20010290A
IN
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
6301006300
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201052000 A
—
IN
01
—
M100064411
MEDICARE PTAN
IN
Enumeration date
02/07/2012
Last updated
01/16/2026
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