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SOUTH BEND PSYCHIATRY LLC
NPI 1700112224
Psychiatry & Neurology - Psychiatry in Plymouth, IN

Active since October 19, 2009
1800 N OAK DR, PLYMOUTH, IN 46563(574) 303-5375 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About South Bend Psychiatry Llc NPPES

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

SOUTH BEND PSYCHIATRY LLC (NPI 1700112224) is a healthcare organization registered as a psychiatry in Plymouth, Indiana and active in the NPI registry since October 2009. The organization lists Mallikarjun Patta, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1700112224
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSOUTH BEND PSYCHIATRY LLC
Location Address1800 N OAK DRPlymouth, IN 46563-3406
Mailing Address11106 Birch Lake DrGranger, IN 46530-6032 · (574) 303-5375
Phone(574) 303-5375
Organization SubpartNo
Authorized OfficialMallikarjun PattaAuthorized Official · (574) 303-5375
Enumeration DateOctober 19, 2009
Last NPPES UpdateSeptember 15, 2021
NPPES CertifiedSeptember 15, 2021
✔ NPI 1700112224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1800 N OAK DR, Plymouth, IN 46563
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Bend Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to South Bend Psychiatry LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Teresa Benefit, NP
Nurse Practitioner
NPI 1215380357
1800 N OAK DR
Plymouth, IN 46563
(574) 936-3784
✔ PECOS✔ Accepts MedicareSame address
Robert Raster, MD
Psychiatry
NPI 1417924879
403 E MADISON ST
South Bend, IN 46617
(574) 234-0061
✔ PECOS✔ Accepts Medicare23 mi
Mallikarju Patta, MD
Psychiatry
NPI 1164499554
12750 SAINT FRANCIS DR
Crown Point, IN 46307
(219) 852-1524
✔ PECOS✔ Accepts Medicare52 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Bend Psychiatry LLC's NPI number?

The NPI number for South Bend Psychiatry LLC is 1700112224. It was assigned to this organization in the NPPES registry on October 19, 2009.

Where is South Bend Psychiatry LLC located?

South Bend Psychiatry LLC is located at 1800 N Oak Dr, Plymouth, IN 46563. The listed phone number is (574) 303-5375.

What is South Bend Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is South Bend Psychiatry LLC enrolled in Medicare?

Yes. South Bend Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Bend Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to South Bend Psychiatry LLC, in Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does South Bend Psychiatry LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list South Bend Psychiatry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Bend Psychiatry LLC was last updated on September 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.