JAGAN MOHANRAO JAKKULA (NPI# 1891924957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891924957 |
| Entity Type | Individual |
| Full Name | JAGAN MOHANRAO JAKKULA |
| Practice Address |
1324 5th St N New Ulm MN 56073-1514 |
| Practice Telephone | 5072175168 |
| Mailing Telephone | 5072175168 |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
55923 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MARSHFIELD | 390200000X | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1809 W Redlands Blvd, Redlands, CA 923738054 | 9093353026 |
| Street Address |
1324 5TH ST N |
| City | NEW ULM |
| State | MN |
| Zip Code | 56073-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508851809 | Reid A Horning | Pharmacist | 1324 5th St N, New Ulm, MN 56073-1514 | 2005-09-13 |
| 1073112421 | Nathan Michael Holm | Nurse Practitioner | 1324 5th St N, New Ulm, MN 56073-1514 | 2020-10-17 |
| 1164029781 | Lindsey Leann Atchison | Physical Medicine & Rehabilitation | 1324 5th St N, New Ulm, MN 56073-1514 | 2020-10-06 |
| 1700404308 | Ashley Marie Jensen | Pharmacist | 1324 5th St N, New Ulm, MN 56073-1514 | 2020-07-09 |
| 1942839048 | Kirstin Peterson | Physical Therapist | 1324 5th St N, New Ulm, MN 56073-1514 | 2020-04-02 |
| 1720610900 | Liza Ann Rignell | Speech-Language Pathologist | 1324 5th St N, New Ulm, MN 56073-1514 | 2020-02-06 |
| 1457903668 | Kelly Marie Beneke | Pharmacist | 1324 5th St N, New Ulm, MN 56073-1514 | 2019-07-09 |
| 1235794355 | Cole Mckeown | Physical Therapist | 1324 5th St N, New Ulm, MN 56073-1514 | 2019-05-03 |
| 1710497037 | Laura Elizabeth Boraas | Physical Therapist | 1324 5th St N, New Ulm, MN 56073-1514 | 2017-10-02 |
| 1548780570 | Amanda Jean Fuchs | Speech-Language Pathologist | 1324 5th St N, New Ulm, MN 56073-1514 | 2017-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811405376 | Serenity Family Counseling LLC | Social Worker | 15 South Minnesota Street, New Ulm, MN 56073 | 2018-01-18 |
| 1962940338 | Ambassadors for Spiritual & Mental Wellness | Clinic/Center | 23 Minnesota St S, New Ulm, MN 56073 | 2017-02-06 |
| 1124289038 | Highland Manor, Inc | Home Health | 1314 8th Street North, New Ulm, MN 56073 | 2008-06-23 |
| 1821264854 | Thomas Patrick Keaveny | Social Worker | 1400 6th Street North, New Ulm, MN 56073 | 2008-04-30 |
| 1558539478 | Jennifer Joy Erdman | Registered Nurse | 6 North Minnesota Street, New Ulm, MN 56073 | 2008-02-13 |
| 1154522290 | Eon, Inc. | Home Health | 1200 S Broadway, New Ulm, MN 56073 | 2007-05-29 |
| 1750599643 | New Ulm Chiropractic Office, Pa | Chiropractor | 117 S Broadway, New Ulm, MN 56073 | 2007-05-21 |
| 1174646392 | Woodview Dental Clinic, Pllc | Dentist | 2000 S Broadway, New Ulm, MN 56073 | 2007-04-10 |
| 1528199940 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 1720 Westridge Rd, New Ulm, MN 56073 | 2007-03-08 |
| 1083779912 | Independent School District - 88 | Local Education Agency (LEA) | 414 South Payne Street, New Ulm, MN 56073 | 2006-12-22 |
| Find all providers in zip 56073 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689938284 | Lauren L. Murphy | Psychiatry & Neurology | 1217 8th St N, New Ulm, MN 56073-1552 | 2012-06-28 |
| 1548309883 | Sumathi Vaidhyanathaswamy | Psychiatry & Neurology | 1217 8th St N, New Ulm, MN 56073-1552 | 2007-02-05 |
| 1609949676 | James Duane Swenson | Psychiatry & Neurology | 1407 S State St, New Ulm, MN 56073-3715 | 2006-11-16 |
| 1295831618 | Vanita Mishra | Psychiatry & Neurology | 1217 8th St N, New Ulm, MN 56073-1552 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277677 | Emily Tonkin, LLC | Psychiatry & Neurology | 825 Nicollet Mall Ste 1246, Minneapolis, MN 55402-2702 | 2020-08-28 |
| 1083243182 | Blake Novy | Psychiatry & Neurology | 200 1st St Sw Dept Of, Rochester, MN 55905-0001 | 2020-04-02 |
| 1174156152 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 115 Elm St Ste I, Farmington, MN 55024-1031 | 2020-02-18 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1912537721 | Psy-fi Tms | Psychiatry & Neurology | 6504 Creek Dr, Edina, MN 55439-1208 | 2020-01-21 |
| 1821637869 | Psychopharmacology Consultant LLC | Psychiatry & Neurology | 1082 Highway 3 S, Northfield, MN 55057-3088 | 2019-12-21 |
| 1770120933 | Dr. Lisa Etherapy | Psychiatry & Neurology | 3539 Douglas Dr N, Minneapolis, MN 55422-2415 | 2019-12-06 |
| 1225673411 | Osetohamen Elizabeth Agene | Psychiatry & Neurology | 5701 Shingle Creek Pkwy Ste 115, Minneapolis, MN 55430-2485 | 2019-11-12 |
| 1700319456 | Kristin Nguyen | Psychiatry & Neurology | 1301 W Center St, Rochester, MN 55902-0333 | 2017-04-10 |
| 1295198539 | Daniel Janiczak | Psychiatry & Neurology | 701 Park Ave. B5 118, Hencepin County Medical Center Department of Psychiatry, Minneapolis, MN 55415 | 2016-04-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.