Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paige Neidrich

Individual provider Registered Nurse · NPI 1407540891

Paige Neidrich is a Nurse Practitioner in Willow Street, Pennsylvania. Qualified in 2024, 2 years ago. Practices with P360 Care Services PLLC Dba Psych 360, a 24-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2600 Willow Street Pike N Ste 116
Willow Street, PA 17584-9385
Phone: (330) 536-3746
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP030422 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN697538 (PA)

Record details

NPI number1407540891
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 7, 2023
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice P360 Care Services Pllc Dba Psych 360 — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Willow Street