Individual provider Active NPI

Nickesha Romaine McKenzie, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Warwick, RI
National Provider Identifier
1881223394
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CAPRN02290 Issued in RI
Practice address
186 Providence St
West Warwick, RI 02893-2508
Phone
(401) 767-4100
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CAPRN02290 RI Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X APRN02290 RI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9824 CT

Addresses

Primary practice location

186 Providence St
West Warwick, RI 02893-2508

Mailing address

1 River St
Wakefield, RI 02879-3214
Phone (401) 767-4100

Other practice location 1

360 Kingstown Rd Unit 101
Narragansett, RI 02882-3258
Phone (401) 767-4100

Other practice location 2

345 Blackstone Blvd
Providence, RI 02906-4800
Phone (401) 455-6200

Other practice location 3

13 Airport Rd
Westerly, RI 02891-3401
Phone (860) 662-6055

Other practice location 4

189 Storrs Rd
Mansfield Center, CT 06250-1683
Phone (860) 456-1311

Other practice location 5

1 River St
Wakefield, RI 02879-3214
Phone (401) 783-0523

Other practice location 6

202 Pomfret St
Putnam, CT 06260-1833
Phone (860) 963-7917

Other practice location 7

450 Clinton St
Woonsocket, RI 02895-3207
Phone (401) 767-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200604002801 RI Practitioner - Nurse Practitioner 8325469026 Reassigns benefits to 2 organizations
I20211022001495 CT Practitioner - Nurse Practitioner 8325469026 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thundermist Health CenterGroup PAC ID 1557270477, 161 clinicians

Practice addresses (Care Compare)

450 Clinton St
Woonsocket, RI 02895-3207
Phone (401) 767-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9824CTMDPsychiatric/Mental Health Nurse Practitioner
CAPRN02290RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thundermist Health Center CurrentSince May 18, 2020 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Sep 25, 2023 Accepting new patients
Impact Health Psych PC Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Natchaug Hospital, Inc. CurrentSince Mar 1, 2023 Accepting new patients
United Community and Family Services, Inc. CurrentSince Aug 31, 2021 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Sep 25, 2023 Accepting new patients
Precision Mental Health and Consulting Services LLC CurrentSince Jul 22, 2025 Accepting new patients
United Community and Family Services, Inc. CurrentSince Aug 31, 2021 Accepting new patients
Thundermist Health Center CurrentSince May 18, 2020 Accepting new patients

Locations

1057 Poquonnock Rd
Groton, CT 06340
Phone (860) 445-4148

70 Main St
Jewett City, CT 06351
Phone (860) 376-7040

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

14 Westport Ave
Norwalk, CT 06851
Phone (203) 497-3867

47 Town St
Norwich, CT 06360

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

240 Indian River Rd
Ste C7
Orange, CT 06477
Phone (203) 497-3867

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

360 Kingstown Rd
Unit 101
Narragansett, RI 02882
Phone (401) 783-3334

1 River St
Wakefield, RI 02879
Phone (401) 783-0523

186 Providence St
West Warwick, RI 02893
Phone (401) 615-2800

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

450 Clinton St
Woonsocket, RI 02895

25 John a Cummings Way
Ste 302
Woonsocket, RI 02895

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCBEAA

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1881223394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIVER ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793214",
            "telephone_number": "401-767-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 PROVIDENCE ST",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932508",
            "telephone_number": "401-767-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Kingstown Rd Unit 101",
            "address_purpose": "LOCATION",
            "city": "Narragansett",
            "state": "RI",
            "postal_code": "028823258",
            "country_code": "US",
            "telephone_number": "401-767-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 Blackstone Blvd",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029064800",
            "country_code": "US",
            "telephone_number": "401-455-6200",
            "fax_number": "401-455-6689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Westerly",
            "state": "RI",
            "postal_code": "028913401",
            "country_code": "US",
            "telephone_number": "860-662-6055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "189 Storrs Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield Center",
            "state": "CT",
            "postal_code": "062501683",
            "country_code": "US",
            "telephone_number": "860-456-1311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 River St",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028793214",
            "country_code": "US",
            "telephone_number": "401-783-0523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Pomfret St",
            "address_purpose": "LOCATION",
            "city": "Putnam",
            "state": "CT",
            "postal_code": "062601833",
            "country_code": "US",
            "telephone_number": "860-963-7917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Clinton St",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028953207",
            "country_code": "US",
            "telephone_number": "401-767-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "NICKESHA",
        "middle_name": "ROMAINE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "CAPRN02290",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN02290",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "9824",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Warwick, RI

Sources for this page

Verify at the official NPI Registry.