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ICON MENTAL HEALTH
NPI 1790570711
Nurse Practitioner - Psychiatric/Mental Health in Albany, NY

Active since April 10, 2025
418 BROADWAY STE R, ALBANY, NY 12207(315) 840-8411 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Icon Mental Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICON MENTAL HEALTH (NPI 1790570711) is a healthcare organization registered as a psychiatric/mental health in Albany, New York and active in the NPI registry since April 2025. The organization lists Kabiite Mukisa, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790570711
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameICON MENTAL HEALTH
Location Address418 BROADWAY STE RAlbany, NY 12207-2922
Mailing Address418 Broadway Ste RAlbany, NY 12207-2922
Phone(315) 840-8411
Organization SubpartNo
Authorized OfficialKabiite MukisaCeo · (512) 774-3294
Enumeration DateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1790570711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
418 BROADWAY STE R, Albany, NY 12207
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEEPLY ROOTED MENTAL HEALTH COUNSEL ING PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
418 BROADWAY STE R
ALBANY, NY 12207
Albany County (516) 486-9090
MADELINE MUNOZ
Registered Nurse
418 BROADWAY STE R
ALBANY, NY 12207
Albany County (305) 204-9348
AIMER MENTAL HEALTH COUNSELING PLLC
Counselor (Mental Health)
418 BROADWAY STE R
ALBANY, NY 12207
Albany County (929) 333-6282
INSPIRED LIFE PSYCHOLOGY PLLC
Psychologist (Clinical)
418 BROADWAY STE R
ALBANY, NY 12207
Albany County (347) 927-5541
SOW SEED MENTAL HEALTH COUNSELING, PLLC
Counselor (Mental Health)
418 BROADWAY STE R
ALBANY, NY 12207
Albany County (312) 409-2216
BLISSFUL RENEWAL PLLC
Social Worker (Clinical)
418 BROADWAY STE R
ALBANY, NY 12207
Albany County (718) 541-0118
COMPASSIONATE FAMILY HEALTH NP, PLLC
Clinic/Center (Primary Care)
418 BROADWAY STE R
ALBANY, NY 12207
Albany County (631) 406-9339
MS. MEGHIN LISI
Marriage & Family Therapist
418 BROADWAY STE R
ALBANY, NY 12207
Albany County (631) 319-0450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Icon Mental Health's NPI number?

The NPI number for Icon Mental Health is 1790570711. It was assigned to this organization in the NPPES registry on April 10, 2025.

Where is Icon Mental Health located?

Icon Mental Health is located at 418 Broadway Ste R, Albany, NY 12207. The listed phone number is (315) 840-8411.

What is Icon Mental Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Icon Mental Health was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.