Organization Active NPI

Precision Mental Health and Consulting Services LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Groton, CT
National Provider Identifier
1326937160
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
PRECISION MENTAL HEALTH AND CONSULTING SERVICES LLC
Practice address
1057 Poquonnock Rd
Groton, CT 06340-6630
Phone
(860) 662-6055
NPI assigned
Jun 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Authorized official

Name
Nickesha McKenzie, NURSPE PRACTITIONERNPI 1881223394
Title
Pmhnp
Phone
(407) 970-6710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084B0040X Primary

Addresses

Primary practice location

1057 Poquonnock Rd
Groton, CT 06340-6630

Mailing address

1057 Poquonnock Rd
Groton, CT 06340-6630
Phone (860) 662-6055

Other names 1

  • NONE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250901000675 CT Part B Supplier - Clinic/Group Practice 7416458351 Receives reassigned benefits from 1 practitioner
Practice locations: Groton, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1751068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751068800000",
    "number": "1326937160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406630",
            "telephone_number": "860-662-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406630",
            "telephone_number": "860-662-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION MENTAL HEALTH AND CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "NICKESHA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "407-970-6710",
        "authorized_official_credential": "NURSPE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.