DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. REVATHI B BINGI ED.D.

MEDICARE: DR. REVATHI B BINGI ED.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor39000013AIN
2103T00000XPsychologist00248
3103TC0700XClinical Psychologist20041075AIN
4103TC1900XCounseling Psychologist20041075AIN

General Provider Information

NPI Number : 1467406538
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REVATHI B BINGI ED.D.
Provider Business Mailing Address
First Line : 1910 SAINT JOE CENTER RD
Second Line : SUITE 44
City : FORT WAYNE
State : IN
Zip : 46825-5000
Country : US
Telephone Number : 260-471-8033
Fax Number : 260-471-8107
Provider Business Practice Location Address
First Line : 1910 SAINT JOE CENTER RD
Second Line : SUITE 44
City : FORT WAYNE
State : IN
Zip : 46825-5000
Country : US
Telephone Number : 260-471-8033
Fax Number : 260-471-8107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

1376593046 — DR. WAYNE JAMES VON BARGEN PH.D.
Practice Location Address:
1910 SAINT JOE CENTER RD , SUITE 44
FORT WAYNE, IN
46825-5000
Practice Phone: 260-471-8033
Practice Fax: 260-471-8107
1366492043 — VON BARGEN ASSOCIATES, INC.
Practice Location Address:
1910 SAINT JOE CENTER RD , SUITE 44
FORT WAYNE, IN
46825-5000
Practice Phone: 260-471-8033
Practice Fax: 260-471-8107
1619928728 — DR. DANIEL JEFFREY HAUSCHILD PSY.D.
Practice Location Address:
1910 SAINT JOE CENTER RD , SUITE 44
FORT WAYNE, IN
46825-5000
Practice Phone: 260-471-8033
Practice Fax: 260-471-8107
1790710200 — JEAN MARIE MERKLER M.S.
Practice Location Address:
1910 SAINT JOE CENTER RD , SUITE 44
FORT WAYNE, IN
46825-5000
Practice Phone: 260-471-8033
Practice Fax: 260-471-8107
1811004526 — VON BARGEN ASSOCIATES, INC.
Practice Location Address:
1910 SAINT JOE CENTER RD , SUITE 44
FORT WAYNE, IN
46825-5000
Practice Phone: 260-471-8033
Practice Fax: 260-471-8107
1922104454 — MRS. TERESA MACIEJEWSKI PT
Practice Location Address:
1910 SAINT JOE CENTER RD STE 33
FORT WAYNE, IN
46825-5000
Practice Phone: 260-483-9933
Practice Fax: 260-483-9931

Directions to “ DR. REVATHI B BINGI ED.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.