Active NPI
Nickesha Romaine McKenzie, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- West Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CAPRN02290
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9824 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
| CAPRN02290 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thundermist Health Center | Current | Accepting new patients | |
| Northeast Medical Group, Inc. | Current | Accepting new patients | |
| Impact Health Psych PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Natchaug Hospital, Inc. | Current | Accepting new patients | |
| United Community and Family Services, Inc. | Current | Accepting new patients | |
| Mill Hill Medical Consultants Inc | Current | Accepting new patients | |
| Precision Mental Health and Consulting Services LLC | Current | Accepting new patients | |
| United Community and Family Services, Inc. | Current | Accepting new patients | |
| Thundermist Health Center | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Wakefield, RI
- NPI 1700041001
-
- Behavioral Neurology & Neuropsychiatry Physician
- Groton, CT
- NPI 1326937160
-
- Psychiatric/Mental Health Nurse Practitioner
- Orange, CT
- NPI 1730781022
-
- Psychiatric Hospital
- Mansfield Center, CT
- NPI 1295811321
-
- Federally Qualified Health Center (FQHC)
- Norwich, CT
- NPI 1467482539
-
- Federally Qualified Health Center (FQHC)
- Narragansett, RI
- NPI 1265190292
-
- Hospitalist Physician
- Greenwich, CT
- NPI 1881607232
-
- Federally Qualified Health Center (FQHC)
- Norwich, CT
- NPI 1558366757
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.