Subodh Jain (NPI# 1033341888, PAC ID# 2567602360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1033341888 |
| PAC ID by PECOS | 2567602360 |
| Professional Enrollment ID | I20140627000333 |
| Full Name | Subodh Jain |
| Organization Legal Name | BURRELL, INC. |
| Address |
1300 E Bradford Pkwy Burrell Behavioral Health Springfield MO 65804-4264 |
| Phone Number | 4177615000 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 4486548625 |
| Number of Group Practice Members | 80 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260065 | MERCY HOSPITAL SPRINGFIELD |
| Address | Phone | Organization |
|---|---|---|
| 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 | 4177615000 | BURRELL, INC. |
| 1965 S Fremont Ave, 330 Mc Psychiatry S Fremont Suite 330, Springfield, MO 65804-2251 | 4178208180 | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Organization Legal Name | BURRELL, INC. |
| Physicians | 99 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joe Boyd Bates | Psychiatry | Burrell, Inc. | 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 |
| Jaxon J Kobey | Clinical Social Worker | Burrell, Inc. | 210 N Williams, Burrell Behavioral Health, Moberly, MO 65720-1583 |
| Stephanie E Irwin | Psychiatry | Burrell, Inc. | 3401 Berrywood Dr, Columbia, MO 65201-6515 |
| Dustin J Cooley | Clinical Social Worker | Burrell, Inc. | 1805 E Walnut St, Burrell Behavioral Health, Columbia, MO 65201-6425 |
| Crystal M Beckham | Psychologist, Clinical | Burrell, Inc. | 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 |
| Brittany Pratt | Psychologist, Clinical | Burrell, Inc. | 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 |
| Cheryl R List | Psychologist, Clinical | Burrell, Inc. | 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 |
| Philip M Swope | Psychologist, Clinical | Burrell, Inc. | 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 |
| Carol J Orr | Psychologist, Clinical | Burrell, Inc. | 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 |
| Dorothy C Baker | Clinical Social Worker | Burrell, Inc. | 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 |
| Street Address |
1300 E BRADFORD PKWY BURRELL BEHAVIORAL HEALTH |
| City | SPRINGFIELD |
| State | MO |
| Zip | 65804-4264 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joe Boyd Bates | Psychiatry | Burrell, Inc. | 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 |
| Crystal M Beckham | Psychologist, Clinical | Burrell, Inc. | 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 |
| Brittany Pratt | Psychologist, Clinical | Burrell, Inc. | 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 |
| Cheryl R List | Psychologist, Clinical | Burrell, Inc. | 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 |
| Philip M Swope | Psychologist, Clinical | Burrell, Inc. | 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 |
| Carol J Orr | Psychologist, Clinical | Burrell, Inc. | 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 |
| Dorothy C Baker | Clinical Social Worker | Burrell, Inc. | 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 |
| William J Mallot | Psychologist, Clinical | Burrell, Inc. | 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 |
| Gary L June | Psychologist, Clinical | Burrell, Inc. | 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 |
| Shannon Michelle Eaton | Nurse Practitioner | Burrell, Inc. | 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda Carrell | Optometry | Larimore, Baker, Brown, and Associates, Inc | 1441 E Sunshine, Sunshine Eye Clinic, Springfield, MO 65804-1211 |
| Ronald W Keeling | Optometry | Larimore, Baker, Brown, and Associates, Inc | 1441 E Sunshine, Sunshine Eye Clinic, Springfield, MO 65804-1211 |
| Bary Brown | Optometry | Larimore, Baker, Brown, and Associates, Inc | 1441 E Sunshine, Sunshine Eye Clinic, Springfield, MO 65804-1211 |
| Carolyn S Wampler | Clinical Social Worker | 1736 E Sunshine St, Springfield, MO 65804-1329 | |
| Iran N Cohen | Psychologist, Clinical | 1736 E Sunshine St, Suite 510, Springfield, MO 65804-1331 | |
| Jeanine L Siewert | Clinical Social Worker | 1736 E Sunshine, Suite 811, Springfield, MO 65804-1334 | |
| Sara S Hollis | Psychologist, Clinical | 1736 E Sunshine St, Suite 811, Springfield, MO 65804-1334 | |
| Susan L Waldo | Psychologist, Clinical | 1909 E Bennett St, Suite 106, Springfield, MO 65804-1400 | |
| Stephen R Adams | Family Medicine | Aids Project of The Ozarks | 1636 S Glenstone Ave, 100 Aids Project of The Ozarks (apo), Springfield, MO 65804-1527 |
| Julie A Macke | Clinical Social Worker | Aids Project of The Ozarks | 1636 S Glenstone Ave, 100 Aids Project of The Ozarks (apo), Springfield, MO 65804-1527 |
| Find all physicians in zip 65804 | |||
| City | SPRINGFIELD |
| Zip Code | 65804 |
| Specialty | PSYCHIATRY |
| City + Specialty | SPRINGFIELD + PSYCHIATRY |
Please comment or provide details below to improve the information on Subodh Jain.
| 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.