MEDICARE: PRECISION PSYCHIATRY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1114749769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION PSYCHIATRY LLC

Provider Business Mailing Address
First Line	:	2310 SE DELAWARE AVE STE G
Second Line	:
City	:	ANKENY
State	:	IA
Zip	:	50021-4767
Country	:	US
Telephone Number	:	515-514-1186
Fax Number	:	833-428-6868

Provider Business Practice Location Address
First Line	:	1701 48TH ST STE 110
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-6723
Country	:	US
Telephone Number	:	515-514-1186
Fax Number	:	833-428-6868

Authorized Official
Title or Position	:	CLINIC MANAGER
Name	:	MIKAYLA LANDY
Credential	:
Telephone Number	:	515-514-1186

Provider Enumeration Date	:	10/25/2024
Last Update Date	:	01/13/2026

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