Gillis Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GILLIS PSYCHIATRY LLC

Practice address

17434 State Road 23
South Bend, IN 46635-1743

Phone

(574) 272-6406

Fax

(464) 333-9684

NPI assigned

Dec 17, 2025

Organization subpart

No

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

Authorized official

Name

Lucinda Kil Gillis, APRN, PMHNP-BC

Title

Managing Member

Phone

(574) 329-0241

Specialties & licenses 1

Addresses

Other names 1

• Gillis Mental Health & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucinda Lou Kil Gillis, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • South Bend, IN
  • NPI 1639908601
  Medicare reassignment NPD
• Margaret Anne Gillis, RN

  • Registered Nurse
  • South Bend, IN
  • NPI 1598619876
  NPD (past)

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

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1578428116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17434 STATE ROAD 23",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351743",
            "telephone_number": "574-272-6406",
            "fax_number": "464-333-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17434 STATE ROAD 23",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351743",
            "telephone_number": "574-272-6406",
            "fax_number": "464-333-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLIS PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_middle_name": "KIL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "574-329-0241",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gillis Mental Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Carden Gifford, M.D.
• Pamela Giger, MSW
• Eden Gilbert, RBT
• Neil Lee Gilbert, LCSW
• Oliver D Gilliam, M.D.
• Angela Marie Gillis, M.S. CCC-SLP
• Lori Gillis, RN
• Lucinda Lou Kil Gillis, N.P.
• Margaret Anne Gillis, RN
• Michael Gillock, MS

• Psychiatric/Mental Health Nurse Practitioner in South Bend, IN
• Providers in South Bend, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.