Individual provider Active NPI

Icarda Rhode Saint Louis, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1053101162
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
407050 Issued in NY
Practice address
194 Van Buren St Apt 2
Brooklyn, NY 11221-8110
Phone
(857) 206-2911
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407050 NY Primary

Addresses

Primary practice location

194 Van Buren St Apt 2
Brooklyn, NY 11221-8110

Mailing address

194 Van Buren St Apt 2
Brooklyn, NY 11221-8110
Phone (857) 206-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204000538 NY Practitioner - Nurse Practitioner 6103319512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York Psychiatric Services PCGroup PAC ID 9436040102, 23 clinicians

Practice addresses (Care Compare)

225 Broadway
Suite 1605
New York, NY 10007-3756
Phone (212) 693-4010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
407050NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York Psychiatric Services, P.C. CurrentSince Sep 21, 2025 Accepting new patients

Locations

225 Broadway
Ste 1605
New York, NY 10007
Phone (212) 227-2225

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1053101162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 VAN BUREN ST APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112218110",
            "telephone_number": "857-206-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 VAN BUREN ST APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112218110",
            "telephone_number": "857-206-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT LOUIS",
        "first_name": "ICARDA",
        "middle_name": "RHODE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.