Individual provider Active NPI

Jacob Franklin, MD

  • Psychiatry Physician
  • South Bend, IN
National Provider Identifier
1912460973
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01093462A Issued in IN
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

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220603000160 MI Practitioner - Psychiatry 6800137118 Reassigns benefits to 1 organization
I20240531002264 IN Practitioner - Psychiatry 6800137118 Reassigns benefits to 2 organizations

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
Oaklawn Psychiatric Center IncGroup PAC ID 6002801065, 66 clinicians

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

LicenseStateTypeSpecialty
4301505182MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Mercy Hospital Current Accepting new patients
St Joseph Mercy Hospital Psychiatry CurrentSince Apr 1, 2022 Accepting new patients
Porter-Starke Services Inc. CurrentSince May 1, 2024 Accepting new patients
Oaklawn Psychiatric Center, Inc. CurrentSince Jul 28, 2025 Accepting new patients
Porter-Starke Services Inc. CurrentSince May 1, 2024 Accepting new patients
Oaklawn Psychiatric Center, Inc. CurrentSince Jul 28, 2025 Accepting new patients
St Joseph Mercy Hospital CurrentSince Apr 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.