Icare Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ICARE PSYCHIATRY PLLC

Practice address

12247 Cattleside Dr Ste 301
Riverview, FL 33579-6883

Phone

(786) 348-5164

Fax

(786) 705-7942

NPI assigned

Jul 8, 2024

Organization subpart

No

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

Authorized official

Name

Robert Tang Bau, ANCCNPI 1952001349

Title

Owner

Phone

(786) 325-7643

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Tang Bau

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
  • NPI 1952001349
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1497591697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S WARE BLVD STE 607",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198402",
            "telephone_number": "786-325-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12247 CATTLESIDE DR STE 301",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335796883",
            "telephone_number": "786-348-5164",
            "fax_number": "786-705-7942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "179 Flanders Rd",
            "address_purpose": "LOCATION",
            "city": "Niantic",
            "state": "CT",
            "postal_code": "063571206",
            "country_code": "US",
            "telephone_number": "305-209-4699",
            "fax_number": "786-705-7942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ICARE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "TANG BAU",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-325-7643",
        "authorized_official_credential": "ANCC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy Sue Huster, PT, DPT
• Elise Hutchinson, APRN
• James Hutchinson, CSFA
• Melissa McAllister Hutton, MSN, CRNP, ARNP
• Kevin Huynh, DO
• Diana Ickes, PTA
• Ideal Dental Riverview PLLC
• Impact Health and Quality LLC.
• Incare LLC
• Diane Infante, RPH

• Psychiatric/Mental Health Nurse Practitioner in Riverview, FL
• Providers in Riverview, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.