Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CYNTHIA SUSAN FODNESS CNS
NPI 1184690786
Clinical Nurse Specialist - Psychiatric/Mental Health in South Bend, IN

Q: What is the provider's specialty?

The provider's specialty is Clinical Nurse Specialist with taxonomy code 364SP0808X and a focus in Psychiatric/Mental Health.

Active since February 24, 2006

403 E MADISON ST, SOUTH BEND, IN 46617(574) 234-0061(574) 283-1209 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Cynthia Susan Fodness Cns NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CYNTHIA SUSAN FODNESS CNS (NPI 1184690786) is an individual psychiatric/mental health provider in South Bend, Indiana, licensed in Indiana (28123166A) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1184690786

Entity TypeIndividualFemale

Primary Taxonomy364SP0808X

Provider Legal NameCYNTHIA SUSAN FODNESSCredential: CNS

Location Address403 E MADISON STSouth Bend, IN 46617-2322

Mailing Address26164 Twin Lakes TrlSouth Bend, IN 46628-9537 · (574) 273-8543 · Fax (574) 283-1208

Phone(574) 234-0061

Fax(574) 283-1209

Sole ProprietorNo

Enumeration DateFebruary 24, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1184690786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0808X

License✔ Licensed in IN · 28123166A

403 E MADISON ST, South Bend, IN 46617

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILLIP COFFEY LCSW

Social Worker (Clinical)