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

Dr. Leslie Capulong, MD

Individual provider Psychiatry Physician · NPI 1346877644

Dr. Leslie Capulong, MD is a Psychiatry in South Bend, Indiana. Qualified in 2020, 6 years ago. Practices with Oaklawn Psychiatric Center Inc, a 68-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and New York.

Years since qualifying
6
Licensed in
IN, NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

415 E Madison St
South Bend, IN 46617-2322
Phone: (574) 283-1234
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 2600 Oakland Ave, Elkhart, IN 46517-1533 — (574) 533-1234
  • 224 W 35th St Ste 500, New York, NY 10001-2538 — (347) 504-0301

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 325281 (NY)
Psychiatry Physician Taxonomy 2084P0800X · Licence 01096917A (IN)

Record details

NPI number1346877644
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 25, 2020
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address5776 Grape Rd Ste 51, Pmb 190, Mishawaka, IN 46545-8460

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Oaklawn Psychiatric Center Inc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Bend