Ittc South Bend LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

ITTC SOUTH BEND LLC

Practice address

231 W Day Rd
Mishawaka, IN 46545-1401

Phone

(845) 372-6480

NPI assigned

Jul 29, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alexander Zeiger

Title

Owner

Phone

(845) 372-6480

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1841112844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 ROUTE 88 STE 5",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242371",
            "telephone_number": "845-372-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W DAY RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451401",
            "telephone_number": "845-372-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITTC SOUTH BEND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "ZEIGER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-372-6480"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Anne Inquilla, MSN, FNP
• Institute for Orthopedic and Nerve Surgery
• Mary Irvin, ATC
• Jason L. Isch, PHARMD
• Victoria Itani
• Maybelle Rose Jabian
• Matthew A Jachim, M.D.
• Ariana Jackson
• Jessica Ashley Jackson, LSW
• Michelle Jackson

• Adolescent and Children Mental Health Clinic/Center in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Adolescent and Children Mental Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.