Healthcare Provider Details

I. General information

NPI: 1114749769
Provider Name (Legal Business Name): PRECISION PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2024
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 48TH ST STE 110
WEST DES MOINES IA
50266-6723
US

IV. Provider business mailing address

1701 48TH ST STE 110
WEST DES MOINES IA
50266-6723
US

V. Phone/Fax

Practice location:
  • Phone: 515-514-1186
  • Fax: 833-428-6868
Mailing address:
  • Phone: 515-514-1186
  • Fax: 833-428-6868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MIKAYLA LANDY
Title or Position: OFFICE MANAGER
Credential:
Phone: 515-514-1186