DR. JAYANTHI RACHAKONDA SMUCKER (NPI# 1972615029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972615029 |
| Entity Type | Individual |
| Full Name | DR. JAYANTHI RACHAKONDA SMUCKER |
| Other Name | DR. JAYANTHI RACHAKONDA SARMA |
| Credential | M.D. |
| Practice Address |
415 E Madison St South Bend IN 46617-2322 |
| Mailing Address |
Po Box 809 Goshen IN 46527-0809 |
| Practice Telephone | 5745331234 |
| Practice Fax Number | 5745331234 |
| Mailing Telephone | 5745331234 |
| Mailing Fax Number | 5745331234 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036098627 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036098627 | 05 | |
| IL | RAILROAD MEDICARE | P00159341 | 01 |
| IL | HEALTH ALLIANCE | 093984 | 01 |
| IL | HEALTHLINK | 540733 | 01 |
| Street Address |
415 E MADISON ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841287950 | Amanda Jane Duddleson | Social Worker | 415 E Madison St, South Bend, IN 46617-2322 | 2005-10-04 |
| 1144829961 | Allen O'carey | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-10-22 |
| 1922607779 | Tekona Henry | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-10-22 |
| 1093314452 | Darell Ezell II | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-10-18 |
| 1386243749 | Karen Bruening | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-10-18 |
| 1457966988 | Kelly Holst-haley | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-09-11 |
| 1942814694 | Bailey Ritsema | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-09-01 |
| 1053924662 | Seanell Williams | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-08-25 |
| 1285247890 | Dana A Taylor | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-08-25 |
| 1245840040 | Mathew Peters | Social Worker | 415 E Madison St, South Bend, IN 46617-2322 | 2020-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| 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 |
|---|---|---|---|---|
| 1558794206 | Frances | Psychiatry & Neurology | 219 N Dixie Way, Suite 135, South Bend, IN 46637-3369 | 2013-08-16 |
| 1114189305 | Ahmed Zakria Elmaadawi | Psychiatry & Neurology | 707 N Michigan St Ste 400, South Bend, IN 46601-1071 | 2008-06-27 |
| 1700090677 | Jennifer S. Knapp | Psychiatry & Neurology | 3220 E Jefferson Blvd, South Bend, IN 46615-3028 | 2007-05-10 |
| 1134206576 | Kearn David Hinchman | Psychiatry & Neurology | 53779 Generations Drive, Suite 1, South Bend, IN 46635 | 2006-11-01 |
| 1336234756 | Khutb Mohammed Uddin | Psychiatry & Neurology | 239 N Dixie Way, South Bend, IN 46637-3309 | 2006-10-03 |
| 1053405779 | Brian K Esch | Psychiatry & Neurology | 218 W. Washington St., Suite 430, South Bend, IN 46601 | 2006-10-03 |
| 1659335636 | Mitchell Robert Goldstein | Psychiatry & Neurology | 107 N Eddy St, South Bend, IN 46617-2920 | 2006-04-14 |
| 1811985062 | Gregory Ernest Shadid | Psychiatry & Neurology | 2043 S Bend Ave # 233, South Bend, IN 46637-5686 | 2005-10-12 |
| 1619381993 | Julie Coyle | Psychiatry & Neurology | 707 N Michigan St Ste 400, South Bend, IN 46601 | 2014-06-16 |
| 1336574748 | Joan Louise Pontius | Psychiatry & Neurology | 219 N Dixie Way, Suite135, South Bend, IN 46637-3369 | 2013-09-05 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
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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.