NPIMap

Organization Active NPI

P360 Care Services PLLC Dba Psych 360

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaver, PA
National Provider Identifier
1750058202
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
P360 CARE SERVICES PLLC DBA PSYCH 360
Practice address
246 Friendship Cir
Beaver, PA 15009-9704
Phone
(844) 291-4535
NPI assigned
Aug 24, 2021
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Brian Nichols
Title
SVP of Revenue Operations
Phone
(615) 334-5078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

246 Friendship Cir
Beaver, PA 15009-9704

Mailing address

PO Box 7977
Carol Stream, IL 60197-7977
Phone (844) 291-4535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220301001267 PA Part B Supplier - Clinic/Group Practice 0244624633 Receives reassigned benefits from 39 practitioners

National Provider Directory

National Provider Directory

Locations (25 of 32)

5767 Cetronia Rd
#P360
Allentown, PA 18106

220 Donahue Manor Rd
#P360
Bedford, PA 15522

296 Dinnerbell Rd
Butler, PA 16002
Phone (724) 360-3000

134 Marwood Rd
Ste 200
Cabot, PA 16023

160 Medical Center Rd
#2612
Chicora, PA 16025

540 Coal Valley Rd
#P360
Clairton, PA 15025

640 Worth St
Corry, PA 16407
Phone (814) 664-9606

1028 E 2nd St
Coudersport, PA 16915
Phone (814) 274-7610

1012 W Bayfront Pkwy
#P360
Erie, PA 16507

103 N 13th St
#P360
Franklin, PA 16323
Phone (330) 267-4250

217 Montgomery Ave
#P360
Haverford, PA 19041

360 Westminster Dr
#P360
Huntingdon, PA 16652

12921 Redstone Dr
Ste 1
Irwin, PA 15642

380 Wray Large Rd
Jefferson Hills, PA 15025
Phone (412) 384-0300

807 Goucher St
#P360
Johnstown, PA 15905
Phone (330) 267-4250

535 McFarland Rd
Latrobe, PA 15650
Phone (724) 454-5586

2018 Route 30
Ligonier, PA 15658
Phone (724) 238-3517

324 Lancaster Ave
Malvern, PA 19355
Phone (484) 282-1568

31 Park Ave
Rear
Meadville, PA 16335

560 Broadway St
#P360
Milton, PA 17847

520 S New Castle St
#P360
New Wilmington, PA 16142

1419 Horsham Rd
North Wales, PA 19454
Phone (215) 641-6748

100 Dogwood Dr
#P360
Philipsburg, PA 16866

2413 Saint Norbert St
#P360
Pittsburgh, PA 15234

105 Dries Rd
Reading, PA 19605
Phone (610) 926-7600

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1750058202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7977",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601977977",
            "telephone_number": "844-291-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FRIENDSHIP CIR",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099704",
            "telephone_number": "844-291-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P360 CARE SERVICES PLLC DBA PSYCH 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "SVP OF REVENUE OPERATIONS",
        "authorized_official_telephone_number": "615-334-5078"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.