Larissa Marie Chism (NPI# 1952460933, PAC ID# 2769579069) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1952460933 |
| PAC ID by PECOS | 2769579069 |
| Professional Enrollment ID | I20080805000038 |
| Full Name | Larissa Marie Chism |
| Organization Legal Name | OAKLAWN PSYCHIATRIC CENTER INC |
| Address |
2600 Oakland Ave Elkhart IN 46517-1533 |
| Phone Number | 5745331234 |
| Gender | F |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 6002801065 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150018 | ELKHART GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2600 Oakland Ave, Elkhart, IN 46517-1533 | 5745331234 | OAKLAWN PSYCHIATRIC CENTER INC |
| 330 Lakeview Dr, Goshen, IN 46528-9365 | 5745331234 | OAKLAWN PSYCHIATRIC CENTER INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 6% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 8% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 49% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 10% |
| Organization Legal Name | OAKLAWN PSYCHIATRIC CENTER INC |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica Brock | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 415 E Madison St, South Bend, IN 46617-2322 |
| Sarah Elizabeth Keel | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 330 Lakeview Dr, Goshen, IN 46528-9365 |
| Susan M Taccheri | Psychiatry | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Lawrence C Willoughby | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 415 E Madison St, South Bend, IN 46617-2322 |
| Carrie A Sommer | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 330 Lakeview Dr, Goshen, IN 46528-9365 |
| Ken R Yoder | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Lori N Gibson | Nurse Practitioner | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Luke Lefever | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| David O Taylor | Psychiatry | Oaklawn Psychiatric Center Inc | 330 Lakeview Dr, Goshen, IN 46528-9365 |
| Joann M Jackson | Psychologist, Clinical | Oaklawn Psychiatric Center Inc | 330 Lakeview Dr, Goshen, IN 46528-9365 |
| Street Address |
2600 OAKLAND AVE |
| City | ELKHART |
| State | IN |
| Zip | 46517-1533 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan M Taccheri | Psychiatry | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Ken R Yoder | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Lori N Gibson | Nurse Practitioner | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Luke Lefever | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Robin Marie Ebright Zehr | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Jeffrey L Kauffman | Nurse Practitioner | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Daniel L. Kinsey | Psychiatry | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Kenya M Kidder | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Douglas L Jarvis | Psychiatry | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Angela M Welling | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon-erk Misz | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Mary Osberger | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Lisa A Kirkton | Nurse Practitioner | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Jean Brunk | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Cheri Littlefield | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Margaret Dickey | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Timothy Mcfadden | Psychiatry | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Lois Duryea | Psychiatry | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Keith A Anderson | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Jessica A Huber | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Find all physicians in zip 46517 | |||
| City | ELKHART |
| Zip Code | 46517 |
| Specialty | PSYCHIATRY |
| City + Specialty | ELKHART + PSYCHIATRY |
Please comment or provide details below to improve the information on Larissa Marie Chism.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.