Active NPI
Alexandra Haley Mackenzie, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Johnston, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN04583
- Practice address
- 1443 Hartford Ave
Johnston, RI 02919-3224 - Phone
- (401) 273-8100
- NPI assigned
- Aug 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN04583 | RI | Primary |
| Registered Nurse | 163W00000X | RN62588 | RI |
Addresses
Primary practice location
1443 Hartford Ave
Johnston, RI 02919-3224
Mailing address
15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779
Other practice location 1
1445 Wampanoag Trl Unit 202
Riverside, RI 02915-1019
Phone (401) 437-4116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1443 Hartford Ave
Johnston, RI 02919-3224
Phone (401) 273-8100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN62588 | RI | MD | Registered Nurse |
| APRN04583 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Healthcare Inc | Current | Accepting new patients | |
| Metta Psychiatry & Wellness, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1516 Atwood Ave
Johnston, RI 02919
Phone (401) 463-8829
1443 Hartford Ave
Providence, RI 02919
Phone (401) 273-8100
1 Virginia Ave
Ste 200
Providence, RI 02905
15 La Salle Sq
Providence, RI 02903
1445 Wampanoag Trl
Unit 202
Riverside, RI 02915
Phone (401) 437-4116
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pawtucket, RI
- NPI 1821078932
-
- Psychiatric/Mental Health Nurse Practitioner
- Riverside, RI
- NPI 1003773680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1164256376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LA SALLE SQ",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029031814",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1443 HARTFORD AVE",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193224",
"telephone_number": "401-273-8100"
}
],
"practiceLocations": [
{
"address_1": "1445 Wampanoag Trl Unit 202",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "RI",
"postal_code": "029151019",
"country_code": "US",
"telephone_number": "401-437-4116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACKENZIE",
"first_name": "ALEXANDRA",
"middle_name": "HALEY",
"credential": "APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-29",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "RI",
"license": "APRN04583",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "RI",
"license": "RN62588",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.