Provider profile · NPI 1780267146
360team Psychiatry Llc
Nurse Practitioner, Psych/Mental Health · Perrysburg, OH · NPI 1780267146 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Nurse Practitioner, Psych/Mental Health
Enumerated
May 4, 2021
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 12910 SHELBYVILLE RD STE 300 | Louisville, KY 40243-2404 | 502-244-2420 |
| LOCATION | 740 COMMERCE DR STE A | Perrysburg, OH 43551-5276 | 502-244-2420 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.