Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Icon Mental Health

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1790570711

Icon Mental Health is a Psychiatric/Mental Health Nurse Practitioner in Albany, New York. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

418 Broadway Ste R
Albany, NY 12207-2922
Phone: (315) 840-8411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1790570711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kabiite Mukisa — Ceo · (512) 774-3294
NPI enumeratedApril 10, 2025
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025
Mailing address418 Broadway Ste R, Albany, NY 12207-2922

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