Individual provider Active NPI

Stephanie Alexia Rolin

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1588082630
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
281065 Issued in NY
Practice address
622 W 168TH St
New York, NY 10032-3720
Phone
(212) 305-6081
NPI assigned
Apr 4, 2014
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X MD210002879 DC
Psychiatry Physician 2084P0800X 281065 NY Primary

Addresses

Primary practice location

622 W 168TH St
New York, NY 10032-3720

Mailing address

622 W 168TH St
New York, NY 10032-3720

Other practice location 1

2041 Georgia Ave NW # 5B
Washington, DC 20060-3720
Phone (202) 865-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190814000065 NY Practitioner - Psychiatry 5395081095 Reassigns benefits to 1 organization
I20250716003514 DC Practitioner - Psychiatry 5395081095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard UniversityGroup PAC ID 0941109565, 182 clinicians

Practice addresses (Care Compare)

2041 Georgia NW Ave
Washington, DC 20060-0001
Phone (202) 865-6679

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD210002879DCMDPsychiatry Physician
281065NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard University Psychiatry CurrentSince Jul 9, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 2, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 2, 2019 Accepting new patients
Howard University PastSince Jun 15, 2025 Accepting new patients
Howard University PastSince Jun 15, 2025 Accepting new patients

Locations

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

2041 Georgia Ave NW
#5B
Washington, DC 20060
Phone (202) 865-3796

2041 Georgia Ave NW
Ste 3400
Washington, DC 20060
Phone (202) 865-6679

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

1425 Madison Ave
New York, NY 10029
Phone (212) 824-8150

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

Interoperability endpoints

  • Direct secure messaging: sar9123@direct.nyp.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1588082630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-6081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Georgia Ave NW # 5B",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200603720",
            "country_code": "US",
            "telephone_number": "202-865-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLIN",
        "first_name": "STEPHANIE",
        "middle_name": "ALEXIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD210002879",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "281065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.