Ruby Reflections Mental Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

RUBY REFLECTIONS MENTAL HEALTH LLC

Practice address

548 Westwood Way Dr
Haslet, TX 76052-3079

Phone

(469) 250-1544

Fax

(469) 242-9827

NPI assigned

Jun 4, 2024

Last updated

May 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kemisola EbietomiyeNPI 1255102976

Title

Owner of Entity

Phone

(469) 250-1544

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kemisola Lynda Ebietomiye

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1255102976

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1356182380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 WESTWOOD WAY DR",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760523079",
            "telephone_number": "469-250-1544",
            "fax_number": "469-242-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 WESTWOOD WAY DR",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760523079",
            "telephone_number": "469-250-1544",
            "fax_number": "469-242-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY REFLECTIONS MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "EBIETOMIYE",
        "authorized_official_first_name": "KEMISOLA",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "469-250-1544"
    },
    "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": []
}

• Luke James Riley, DDS
• Rachel Rodriguez
• Roy Rodriguez, LCSW
• Kristal Ross
• Kailee Rubright, LCSW
• Grace Kelly Ruiz Wilson
• Zaira Y Salas Lira
• Matthew Sapit, CSFA
• Palma Mae Savala, RN
• Nicole Scott, M.S., SLP

• Psychiatric/Mental Health Nurse Practitioner in Haslet, TX
• Providers in Haslet, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.