Kle Nurse Practitioner in Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KLE NURSE PRACTITIONER IN PSYCHIATRY PLLC

Practice address

109 N 12TH St Ste 704
Brooklyn, NY 11249-1002

Phone

(347) 378-3144

Fax

(469) 242-9827

NPI assigned

Sep 24, 2024

Organization subpart

No

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

Authorized official

Name

Kemisola Ebietomiye

Title

Owner of Entity

Phone

(347) 378-3144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1639996242",
    "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": "347-378-3144",
            "fax_number": "469-242-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N 12TH ST STE 704",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112491002",
            "telephone_number": "347-378-3144",
            "fax_number": "469-242-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLE NURSE PRACTITIONER IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "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": "347-378-3144"
    },
    "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": []
}

• Irene E Klats, OTR/L
• Klaudiya Ruvinsky Physician, P.C. (klaudiya ruvinsky)
• Ruth Klaus
• Sara Klayman
• Nelly Klayn, SLP
• Igor Klebanov, D.D.S.
• Irina Klebanov, D.O.
• Harris Jay Kleeman, M.D.
• Kleer Labs LLC
• Mark Daren Kleid, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.