South Bend Psychiatry LLC
NPI 1700112224 · Psychiatry Physician · Plymouth, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Bend Psychiatry LLC is a Psychiatry Physician organization in Plymouth, IN (NPI 1700112224).
Provider details
- NPI number
- 1700112224
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mallikarjun Patta, Authorized Official(574) 303-5375
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-10-19
- Last updated
- 2021-09-15
- Certified
- 2021-09-15
Frequently asked questions
- What is South Bend Psychiatry LLC's NPI number?
- South Bend Psychiatry LLC's National Provider Identifier (NPI) is 1700112224, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Bend Psychiatry LLC?
- South Bend Psychiatry LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is South Bend Psychiatry LLC located?
- South Bend Psychiatry LLC's practice location on file with NPPES is 1800 N Oak Dr, Plymouth, IN 46563-3406.
- What is South Bend Psychiatry LLC's phone number?
- The practice phone number listed in the NPPES registry for South Bend Psychiatry LLC is (574) 303-5375.
- Does South Bend Psychiatry LLC accept Medicare?
- South Bend Psychiatry LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Bend Psychiatry LLC?
- The authorized official listed on South Bend Psychiatry LLC's NPPES record is Mallikarjun Patta, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Bend Psychiatry LLC's NPI active?
- Yes — South Bend Psychiatry LLC's NPI (1700112224) is active in the NPPES registry as of the last update on 2021-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.