Organization · Type 2 NPI
Gillis Psychiatry LLC
Psychiatric/Mental Health Nurse Practitioner · South Bend, IN
NPI number
1578428116
Active
Practice location
17434 State Road 23
South Bend, IN 46635-1743
Fax (464) 333-9684
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1578428116
Gillis Psychiatry LLC's National Provider Identifier is 1578428116, issued on Dec 17, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in South Bend, IN. The record was last updated on Dec 30, 2025.