Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Bend Psychiatry LLC

Organization Psychiatry Physician · NPI 1700112224

South Bend Psychiatry LLC is a Psychiatry Physician in Plymouth, Indiana. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1800 N Oak Dr
Plymouth, IN 46563-3406
Phone: (574) 303-5375
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1700112224
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mallikarjun Patta — Authorized Official · (574) 303-5375
NPI enumeratedOctober 19, 2009
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021
Mailing address11106 Birch Lake Dr, Granger, IN 46530-6032