Kharis Ephrata Psychiatric Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KHARIS EPHRATA PSYCHIATRIC SERVICES LLC

Practice address

1030 Wildmeadow Run
Winter Park, FL 32792-3032

Phone

(407) 775-0248

Fax

(407) 951-7688

NPI assigned

Mar 20, 2022

Last updated

Apr 17, 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

Ruby Odamtten, APRNNPI 1871161695

Title

Owner

Phone

(407) 775-0248

Specialties & licenses 1

Addresses

Other identifiers 1

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, and the practitioner matching its NPPES authorized official.

• Ruby Odamtten, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Longwood, FL
  • NPI 1871161695
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1386393106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 E STATE ROAD 434 UNIT 1025",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505284",
            "telephone_number": "407-775-0248",
            "fax_number": "321-282-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 WILDMEADOW RUN",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923032",
            "telephone_number": "407-775-0248",
            "fax_number": "407-951-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHARIS EPHRATA PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-20",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "ODAMTTEN",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-775-0248",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I DO NOT HAVE SUCH NUMBERS",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anila Khan
• Farzana Rahman Khan, M.D.
• Hassan J Khan, MD
• Rumi Ahmed Khan, M.D.
• Sarah Ahmed Khan
• Mohammed Khattari, D.D.S.
• David Khosrowzadeh, D.O.
• Kids & US Counseling, LLC (Kids & Us Consulting)
• Kidswoods Pediatrics Corp (Zully E Ambroise)
• Izak Kielmovitch, MD

• Psychiatric/Mental Health Nurse Practitioner in Winter Park, FL
• Providers in Winter Park, 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 17, 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.