Active NPI
Jacob Franklin, MD
- Psychiatry Physician
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01093462A
- Practice address
- 415 E Madison St
South Bend, IN 46617-2322 - Phone
- (574) 283-1234
- NPI assigned
- Apr 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301505182 | MI | |
| Psychiatry Physician | 2084P0800X | 01093462A | IN | Primary |
Addresses
Primary practice location
415 E Madison St
South Bend, IN 46617-2322
Mailing address
415 E Madison St
South Bend, IN 46617-2322
Phone (574) 283-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
415 E Madison St
South Bend, IN 46617-2322
Phone (574) 283-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301505182 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Psychiatry | Current | Accepting new patients |
| Porter-Starke Services Inc. | Current | Accepting new patients | |
| Oaklawn Psychiatric Center, Inc. | Current | Accepting new patients | |
| Porter-Starke Services Inc. | Current | Accepting new patients | |
| Oaklawn Psychiatric Center, Inc. | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| Porter-Starke Services, Inc. | Past | Accepting new patients |
Locations
330 Lakeview Dr
Goshen, IN 46528
Phone (219) 533-1234
1001 S Edgewood Dr
Ste 1
Knox, IN 46534
Phone (574) 772-4040
415 E Madison St
South Bend, IN 46617
Phone (574) 283-1234
601 Wall St
Valparaiso, IN 46383
Phone (219) 806-3011
20555 Victor Pkwy
Livonia, MI 48152
Phone (734) 343-3925
5361 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-1300
Interoperability endpoints
- jfranklin2003126@direct.trinity-health.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elkhart, IN
- NPI 1598847212
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Valparaiso, IN
- NPI 1689627598
-
- Otolaryngology Physician
- Ypsilanti, MI
- NPI 1659499705
-
- Psychiatric Hospital
- Goshen, IN
- NPI 1467407395
-
- Federally Qualified Health Center (FQHC)
- Valparaiso, IN
- NPI 1659196236
-
- Cardiac Rehabilitation Clinic/Center
- Ypsilanti, MI
- NPI 1902359094
-
- Federally Qualified Health Center (FQHC)
- Hebron, IN
- NPI 1447815758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1912460973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E MADISON ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172322",
"telephone_number": "574-283-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E MADISON ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172322",
"telephone_number": "574-283-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANKLIN",
"first_name": "JACOB",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-08",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301505182",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01093462A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.